| Leslie Susan Orr | |
|
1801 1st Ave 3b Longview WA 98632-3270 | |
| (360) 425-3854 | |
| (360) 423-4107 |
| Full Name | Leslie Susan Orr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1801 1st Ave, Longview, Washington |
| Authorized Official Name and Position | Leslie S Orr (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3605780634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Susan Orr 4430 Rose Valley Rd Kelso WA 98626-9426 Ph: (360) 578-0634 | Leslie Susan Orr 1801 1st Ave 3b Longview WA 98632-3270 Ph: (360) 425-3854 |
| NPI Number | 1417281338 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417281338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 601497696 (Washington) | Primary |
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