LESLIE MADOLORA GILMORE NPI 1902180441

NPI Information

NPI: 1902180441
Provider Name: LESLIE MADOLORA GILMORE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1255 ALLSTON WAY
BERKELEY, CA
ZIP 94702
Phone: (510) 845-9010
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Leslie Madolora Gilmore is a mental health counselor in Berkeley, CA. Leslie Madolora Gilmore NPI is 1902180441. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1255 ALLSTON WAY
BERKELEY, CA
ZIP 94702-833
Phone: (510) 845-9010
Fax: (510) 845-1421

The enumeration date for this NPI number is 10/3/2011 and was last updated on 10/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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