| Doctor Name: | LESLIE JEAN JEVNIKAR |
| NPI Number: | 1083823207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC,LSW |
| License Number: | E 0002575 |
| Business Practice Address: | 8401 Chagrin Rd Chagrin Falls, OH - 440234701 |
| Business Phone Number: | 4405433400 |
| Business Fax Number: | 4405432287 |
| Mailing Address: | 6221 Maypine Farm Blvd, HIGHLAND HEIGHTS |
| State: | OH |
| Postal Code: | 441434508 |
| Phone Number: | 4404429613 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E 0002575 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |