Doctor Name: | LESLIE CHRISTIAN |
NPI Number: | 1093975849 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC NCC |
License Number: | 2738 |
Business Practice Address: | 41068 Calla Lily St Fort Mill, SC - 297075815 |
Business Phone Number: | 8033961449 |
Business Fax Number: | |
Mailing Address: | 41068 Calla Lily, FORT MILL |
State: | SC |
Postal Code: | 297075815 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2738 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |