Individual
NICOLE LESKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRS, CPS, CFRS
Contact information
Practice address
504 N PARK RD STE C, WYOMISSING, PA 19610-2920
(484) 842-2040
Mailing address
2110 PENN AVE, WEST LAWN, PA 19609-1648
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
10790
PA
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
991304816
—
PA
Enumeration date
05/27/2024
Last updated
02/11/2025
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