Individual
LESLIE C PREVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5607 BLANCHARD PL, SUGAR HILL, GA 30518-7930
(404) 207-5253
Mailing address
5607 BLANCHARD PL, SUGAR HILL, GA 30518-7930
(404) 207-5253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
08/16/2021
Last updated
09/06/2021
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