Provider Demographics
NPI:1285756544
Name:HARSH, LESLIE JEAN (MS, LMHP, LPC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:JEAN
Last Name:HARSH
Suffix:
Gender:F
Credentials:MS, LMHP, LPC
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:JEAN
Other - Last Name:BOHRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHP, LPC
Mailing Address - Street 1:2710 N 160TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-2066
Mailing Address - Country:US
Mailing Address - Phone:402-290-4412
Mailing Address - Fax:
Practice Address - Street 1:2710 N 160TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-2066
Practice Address - Country:US
Practice Address - Phone:402-290-4412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2082101YM0800X
NE1193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional