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Individual

LESLEE LYNN WHITEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1407 W MCMILLAN RD STE 120, MERIDIAN, ID 83646-5168
(208) 315-6717
(208) 315-6718
Mailing address
PO BOX 1662, MERIDIAN, ID 83680-1662
(208) 315-6717
(208) 315-6718

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-302
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010017447
BLUE SHIELD
ID
01
LCPC-302
LCPC
ID
01
Q2560
PROVIDER # BLUE CROSS
ID
Enumeration date
04/06/2007
Last updated
07/29/2025
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