Individual
LESLIE EVAN STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-II
Contact information
Practice address
702 CHURCH ST NE, SALEM, OR 97301-2404
(503) 991-5903
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13-06-54
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-02-10
OR
Other
Enumeration date
03/02/2016
Last updated
02/12/2026
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