Organization
ICENHOUR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY BLAIR ICENHOUR LCSW, LCAS-A (OWNER, THERAPIST)
(828) 719-8779
Entity
Organization
Contact information
Practice address
184 N WATER ST STE 10, BOONE, NC 28607-3556
(828) 719-8779
Mailing address
242 NETTLE KNOB RD, WEST JEFFERSON, NC 28694-7257
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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