Provider Demographics
NPI:1831383959
Name:HARMAN, LESLIE (MA)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12295
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-2295
Mailing Address - Country:US
Mailing Address - Phone:775-287-6784
Mailing Address - Fax:866-434-1033
Practice Address - Street 1:421 W PLUMB LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3766
Practice Address - Country:US
Practice Address - Phone:775-287-6784
Practice Address - Fax:866-434-1033
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01058106H00000X
NV109LC101YA0400X
NVCP0011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional