LESLIE WATLAND
NPI 1063259471
Counselor - Mental Health in Chicago, IL
Active since July 11, 2024
About Leslie Watland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE WATLAND (NPI 1063259471) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1063259471
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLESLIE WATLAND
Location Address1901 N CLYBOURN AVE STE 304Chicago, IL 60614-6808
Mailing Address1634 W Columbia Ave Apt 3sChicago, IL 60626-4166 · (708) 997-1081
Phone(312) 659-4718
Sole ProprietorNo
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1063259471 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1901 N CLYBOURN AVE STE 304, Chicago, IL 60614
Other Names 1
Professional Name (2)Leslie Watland
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
1901 N CLYBOURN AVE STE 304
CHICAGO, IL 60614
CHICAGO, IL 60614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063259471, enumerated as an "individual" on July 11, 2024.
The provider is located at 1901 N CLYBOURN AVE STE 304 CHICAGO, IL 60614 and the phone number is (312) 659-4718.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
