Leslie Fay Dewberry, LLPC
Counselor, Professional in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1164080719
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1164080719
- Entity type
- Individual (NPI-1)
- Name
- Leslie Fay Dewberry
- Credential
- LLPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2019
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401009460 | MI | Yes |
Other names
- Leslie Fay Cooper (Former Name)
Practice location
1000 Oakland Dr Fl 3Kalamazoo, MI 49008-1282
Phone 269-387-8230
Mailing address
6271 Enola AveKalamazoo, MI 49048-8110
Phone 269-806-0898
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