Provider Demographics
NPI:1821702812
Name:UNREIN, LESLIE DAWN
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:DAWN
Last Name:UNREIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E 7TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-4584
Mailing Address - Country:US
Mailing Address - Phone:785-650-0233
Mailing Address - Fax:
Practice Address - Street 1:203 E 7TH ST STE F
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-4584
Practice Address - Country:US
Practice Address - Phone:785-650-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04223-T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health