Individual
KRISTEN GRACE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 AUDREY DR, GASTONIA, NC 28054-7269
(980) 484-2111
Mailing address
2925 AUDREY DR, GASTONIA, NC 28054-7269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16716
NC
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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