person
Leslie A Mastbaum
Addiction (Substance Use Disorder) Counselor in Lancaster, South Carolina
NPI 1063992964

Leslie A Mastbaum is an Addiction (Substance Use Disorder) Counselor based in Lancaster, SC and is specialized in Addiction (Substance Use Disorder). Leslie A Mastbaum practices in Lancaster, SC. The NPI Number for Leslie A Mastbaum is 1063992964 and holds a License No. (South Carolina).

The current practice location address for Leslie A Mastbaum is 114 S Main St, Lancaster, SC and can be reached out via phone at 803-285-6911.

Location: 114 S Main St, Lancaster, SC, 29721-1627
person
Provider Profile Details
NPI Number
1063992964
Provider Name
Leslie A Mastbaum
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 S Main St, Lancaster, SC, 29721-1627
Phone Number
803-285-6911
Fax Number
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
230852 05 SC
institution
Provider Business Practice Location Address Details
Address
114 S Main St
City
State
Zip
29720
Phone Number
803-285-6911
Fax Number
person
Provider Business Mailing Address Details
Address
114 S Main St
City
State
Zip
29720
Phone Number
803-285-6911
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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