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Organization
THE STONE CENTER FOR COUNSELING & LEADERSHIP
Active
Organization
THE STONE CENTER FOR COUNSELING & LEADERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PETRUK LPC, NCC, BCC (DIRECTOR)
(704) 665-0065
Entity
Organization
Contact information
Practice address
1821 CUMBERLAND AVE, CHARLOTTE, NC 28203-6112
(704) 665-0065
(704) 335-4001
Mailing address
1821 CUMBERLAND AVE, CHARLOTTE, NC 28203-6112
(704) 665-0065
(704) 335-4001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386G
BCBS
NC
Enumeration date
03/19/2013
Last updated
02/08/2019
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