Individual
MR. CHARLES GEORGE LEVENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED LADC1
Contact information
Practice address
27 CONGRESS ST, 105, SALEM, MA 01970-7309
(978) 700-1570
(978) 741-1304
Mailing address
14 CIRCLE DR, SANFORD, ME 04073-2402
(978) 740-1570
(978) 741-1304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
227
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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