Most Relevant Information
Provider Data
| NPI Number: | 1003354374 |
| Provider Name: | LESLIE FOGE MA, MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | MFT23841 |
Most Important Dates
| Enumeration Date: | 02/07/2017 |
| Last Updated: | 02/07/2017 |
Provider Practice Location
954 RISA RD
SUITE A
LAFAYETTE
CA
945493418
Practice Location Phone/Fax
| Phone: | 5103322649 |
| Fax: |
Provider Mailing Location
954 RISA RD
SUITE A
LAFAYETTE
CA
945493418
Provider Mailing Phone/Fax
| Phone: | 5103322649 |
| Fax: |