Provider Demographics
NPI:1760404644
Name:TREMAINE, LESLIE JEAN (LESLIE TREMAINE)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:JEAN
Last Name:TREMAINE
Suffix:
Gender:F
Credentials:LESLIE TREMAINE
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:JEAN
Other - Last Name:KRUMLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LESLIE TREMAINE LMFT
Mailing Address - Street 1:2800 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2003
Mailing Address - Country:US
Mailing Address - Phone:925-977-9633
Mailing Address - Fax:925-228-6844
Practice Address - Street 1:2800 PLEASANT HILL RD
Practice Address - Street 2:SUITE 140
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2003
Practice Address - Country:US
Practice Address - Phone:925-977-9633
Practice Address - Fax:925-228-6844
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 14363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist