| Doctor Name: | LESLIE MULLIGAN-MCMICHAEL |
| NPI Number: | 1184779993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCPC |
| License Number: | 5330 |
| Business Practice Address: | Main St Calais, ME - 04619 |
| Business Phone Number: | 2078903868 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1255, CALAIS |
| State: | ME |
| Postal Code: | 046196255 |
| Phone Number: | 2078903868 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 5330 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |