Leslie Rheault, Lpc

Specialty details in registry · Medford, OR

Call (541) 499-1088 Directions

At a glance

2191 Canal St, Medford, OR 97501-4338

NPPES record updated Apr 25, 2017. Public records can lag behind changes at a practice.

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Practice location

2191 Canal St
Medford, OR 97501-4338

Professional details: NPI, taxonomy & registry record

NPI1861927089

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: Apr 25, 2017
Record updated: Apr 25, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: C1655 OR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2191 Canal St
Medford, OR 97501-4338

Phone: (541) 499-1088

Mailing address

2191 CANAL ST

MEDFORD, OR 975014338

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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