Individual
LESLIE PATRICE GRAHAM WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12 AUDUBON AVE APT 205, JERSEY CITY, NJ 07305-2222
(551) 697-0515
(201) 975-5726
Mailing address
12 AUDUBON AVE APT 205, JERSEY CITY, NJ 07305-2222
(551) 697-0515
(201) 975-5726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00495300
NJ
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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