Individual ProviderPatrick LeslieMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address9029 Park Plaza Dr Ste 101, La Mesa, CA 91942-3450(888) 688-0248PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Leslie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1801581947Provider TypeIndividualFull NameLeslie, PatrickCredentialLMFTGenderMaleSole ProprietorYesEnumeration Date4/5/2023Last Updated4/5/2023Contact InformationPractice LocationPractice Address9029 Park Plaza Dr Ste 101, La Mesa, CA 91942-3450Phone(888) 688-0248FaxUnlisted FaxMailing LocationMailing Address2271 Alpine Blvd Ste A, Alpine, CA 91901-1101Phone(888) 688-0248FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense124460California