Individual
MRS. LESLEY ANN BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2600 EXECUTIVE PARK NW, CLEVELAND, TN 37312-2705
(423) 790-5740
Mailing address
2600 EXECUTIVE PARK NW, CLEVELAND, TN 37312-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
01/16/2013
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