Most Relevant Information
Provider Data
| NPI Number: | 1003690330 |
| Provider Name: | LESLIE ANN PRIETO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2023 |
| Last Updated: | 08/18/2023 |
Provider Practice Location
3995 MARCOLA RD
SPRINGFIELD
OR
974777948
Practice Location Phone/Fax
| Phone: | 5417261465 |
| Fax: | 5417265085 |
Provider Mailing Location
3995 MARCOLA RD
SPRINGFIELD
OR
974777948
Provider Mailing Phone/Fax
| Phone: | 5417261465 |
| Fax: | 5417265085 |