person
Leslie D. Mavromatis, LICSW
Mental Health Counselor in Bridgeport, West Virginia
NPI 1922546175

Leslie D. Mavromatis is a Mental Health Counselor based in Bridgeport, WV and is specialized in Mental Health. Leslie D. Mavromatis practices in Bridgeport, WV and has the professional credentials of LICSW. The NPI Number for Leslie D. Mavromatis is 1922546175 and holds a License No. DP00944782 (West Virginia).

The current practice location address for Leslie D. Mavromatis is 527 Medical Park Dr, Bridgeport, WV and can be reached out via phone at 304-933-3885 and via fax at 304-933-3887.

Location: 527 Medical Park Dr, Bridgeport, WV, 26330-9008
person
Provider Profile Details
NPI Number
1922546175
Provider Name
Leslie D. Mavromatis
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
527 Medical Park Dr, Bridgeport, WV, 26330-9008
Phone Number
304-933-3885
Fax Number
304-933-3887
Provider Enumeration Date
02/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr
City
State
Zip
26330-9008
Phone Number
304-933-3885
Fax Number
304-933-3887
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr
City
State
Zip
26330-9008
Phone Number
304-933-3885
Fax Number
304-933-3887
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
DP00944782 (West Virginia)
Definition
Definition to come...
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