Provider Demographics
NPI:1538359807
Name:LEFF, LAURENCE GEORGE (CADC II)
Entity type:Individual
Prefix:MR
First Name:LAURENCE
Middle Name:GEORGE
Last Name:LEFF
Suffix:
Gender:M
Credentials:CADC II
Other - Prefix:MR
Other - First Name:LARRY
Other - Middle Name:GEORGE
Other - Last Name:LEFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CADC II
Mailing Address - Street 1:185 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENS
Mailing Address - State:OR
Mailing Address - Zip Code:97051-1535
Mailing Address - Country:US
Mailing Address - Phone:503-397-5373
Mailing Address - Fax:
Practice Address - Street 1:185 N 4TH ST
Practice Address - Street 2:
Practice Address - City:SAINT HELENS
Practice Address - State:OR
Practice Address - Zip Code:97051-1535
Practice Address - Country:US
Practice Address - Phone:503-366-4526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)