Provider Demographics
NPI:1366405946
Name:SMITH, LESLEY MICHELLE (BA, CACIII)
Entity type:Individual
Prefix:MS
First Name:LESLEY
Middle Name:MICHELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:BA, CACIII
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6800 E TENNESSEE AVE
Mailing Address - Street 2:#433
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1618
Mailing Address - Country:US
Mailing Address - Phone:720-635-2065
Mailing Address - Fax:303-316-9673
Practice Address - Street 1:8000 S LINCOLN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2714
Practice Address - Country:US
Practice Address - Phone:303-730-1212
Practice Address - Fax:303-720-3740
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO6060101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)