Provider Demographics
NPI:1639824451
Name:MORGAN, LES (PASTORAL COUNSELOR)
Entity Type:Individual
Prefix:DR
First Name:LES
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PASTORAL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:N FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-5547
Mailing Address - Country:US
Mailing Address - Phone:706-988-0037
Mailing Address - Fax:
Practice Address - Street 1:75 EVERGREEN RD
Practice Address - Street 2:
Practice Address - City:N FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-5547
Practice Address - Country:US
Practice Address - Phone:706-988-0037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral