Individual
MS. LESLEY AXTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(805) 781-4715
Mailing address
7420 ATASCADERO AVE, ATASCADERO, CA 93422-4418
(805) 781-4715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
01/19/2007
Last updated
08/03/2023
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