Provider Demographics
NPI:1922413277
Name:LEFLORE, NICOLETTE ANN MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NICOLETTE
Middle Name:ANN MARIE
Last Name:LEFLORE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27247 MADISON AVENUE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590
Mailing Address - Country:US
Mailing Address - Phone:951-719-3977
Mailing Address - Fax:
Practice Address - Street 1:27247 MADISON AVE STE 108
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5674
Practice Address - Country:US
Practice Address - Phone:951-719-3977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist