Individual
AMANDA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2428 N GRANDVIEW BLVD # 101, WAUKESHA, WI 53188-6906
(262) 259-4100
Mailing address
2428 N GRANDVIEW BLVD # 101, WAUKESHA, WI 53188-6906
(262) 259-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7478-226
WI
Other
Enumeration date
07/05/2023
Last updated
09/17/2025
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