Provider Demographics
NPI:1912268160
Name:SALMON, LESLIE WITT (LPC)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:WITT
Last Name:SALMON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 POINT WEST CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3372
Mailing Address - Country:US
Mailing Address - Phone:217-766-4103
Mailing Address - Fax:
Practice Address - Street 1:10210 W MARKHAM ST STE 322
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2134
Practice Address - Country:US
Practice Address - Phone:217-766-4103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2008058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health