Most Relevant Information
Provider Data
| NPI Number: | 1003345596 |
| Provider Name: | BRIAN JASON LESKOVAC MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PC012145 |
Most Important Dates
| Enumeration Date: | 06/08/2017 |
| Last Updated: | 12/29/2023 |
Provider Practice Location
689 N HERMITAGE RD STE 4
HERMITAGE
PA
161483237
Practice Location Phone/Fax
| Phone: | 7249831940 |
| Fax: |
Provider Mailing Location
689 N HERMITAGE RD STE 4
HERMITAGE
PA
161483237
Provider Mailing Phone/Fax
| Phone: | 7249831940 |
| Fax: |