Provider Demographics
NPI:1568550424
Name:TOCCI, LESLEE G (LCMHC)
Entity Type:Individual
Prefix:
First Name:LESLEE
Middle Name:G
Last Name:TOCCI
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0647
Mailing Address - Country:US
Mailing Address - Phone:802-223-6328
Mailing Address - Fax:802-229-8004
Practice Address - Street 1:9 HEATON ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2489
Practice Address - Country:US
Practice Address - Phone:802-223-6328
Practice Address - Fax:802-229-8004
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0000231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT989026COtherMVP HEALTHCARE
VT00029905OtherBC/BS VT
VT1007399Medicaid
VT2126881OtherCIGNA
VT360342OtherTRICARE
VT360342OtherMHN TRICARE