Individual
MRS. LESLIE HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
153 HOSPITAL ST, AUGUSTA, ME 04330-0700
(207) 232-0554
Mailing address
71 SETHS WAY, WEST GARDINER, ME 04345-3259
(207) 232-0554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC4920
ME
Other
Enumeration date
10/05/2015
Last updated
11/02/2023
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