Provider Demographics
NPI:1417281338
Name:LESLIE SUSAN ORR
Entity Type:Organization
Organization Name:LESLIE SUSAN ORR
Other - Org Name:COMPASSIONATE HOPE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-578-0634
Mailing Address - Street 1:4430 ROSE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KELSO
Mailing Address - State:WA
Mailing Address - Zip Code:98626-9426
Mailing Address - Country:US
Mailing Address - Phone:360-578-0634
Mailing Address - Fax:360-414-4349
Practice Address - Street 1:1801 1ST AVE
Practice Address - Street 2:3B
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3270
Practice Address - Country:US
Practice Address - Phone:360-425-3854
Practice Address - Fax:360-423-4107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601497696251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health