| Doctor Name: | LESLEE BRY |
| NPI Number: | 1144694969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMFT |
| License Number: | LCM570 |
| Business Practice Address: | 164 W Main St Suite A New Market, MD - 217746279 |
| Business Phone Number: | 3018652226 |
| Business Fax Number: | 3018656720 |
| Mailing Address: | 164 W Main St, Suite A NEW MARKET |
| State: | MD |
| Postal Code: | 217746279 |
| Phone Number: | 3018652226 |
| Fax Number: | 3018656720 |
| NPI Enumeration Date: | 11/17/2015 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCM570 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |