Provider Demographics
NPI:1780381996
Name:ADAMS, LESLIE CHRISTINE (AMFT)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:CHRISTINE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39642 KILKARE CIR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4041
Mailing Address - Country:US
Mailing Address - Phone:415-420-8690
Mailing Address - Fax:
Practice Address - Street 1:43460 RIDGE PARK DR STE 270
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-3738
Practice Address - Country:US
Practice Address - Phone:951-395-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12800106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12800OtherBBS