NPI 1013426121

Jason M. Leslie, LICSWPIP

Practitioner Clinical Social Worker Huntsville, AL

Practice location

Address: 3311 Bob Wallace Ave SW STE 103, Huntsville, AL 35805-4064
Phone: (256) 258-9341
Mailing address: 1034 23rd St S STE 202, Birmingham, AL 35205-2462

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 1658-4698C (AL)

Other Social Worker providers in Alabama →

Registry record

NPI: 1013426121
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Sep 2017
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.