Provider Demographics
NPI:1962819862
Name:HARRINGTON, LESLEY (CADC)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 NW BOND ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2043
Mailing Address - Country:US
Mailing Address - Phone:541-610-7678
Mailing Address - Fax:541-362-2888
Practice Address - Street 1:1045 NW BOND ST
Practice Address - Street 2:SUITE 211
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2043
Practice Address - Country:US
Practice Address - Phone:541-610-7678
Practice Address - Fax:541-362-2888
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-13
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR06-11-25101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)