Individual
MRS. ANDREA MARIE GRANSTON-LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Mailing address
401 NE 4TH ST, FORT LAUDERDALE, FL 33301-1151
(954) 453-6400
(954) 764-6458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9631
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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