Individual
LESLIE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1323 NORTHWESTERN AVE, AMES, IA 50010-5267
(515) 232-7262
(515) 232-7416
Mailing address
1323 NORTHWESTERN AVE, AMES, IA 50010-5267
(515) 232-7262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001192
IA
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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