| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DESARAE LESHORE | 1295462497 | 2022-08-18 |
Desarae Leshore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295462497. Registration indicates Desarae Leshore is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Desarae Leshore |
| Practice Office Address | 1515 N POST RD # A INDIANAPOLIS, IN US |
| Practice Office Telephone | 3172823088 |
| Mailing Address | 1515 N POST RD # A INDIANAPOLIS, IN 462194213 US |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X PRIMARY | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor |