Individual
DR. LESLIE E. KOOYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2010 STONEBRIDGE LN, CHARLOTTE, NC 28211-1716
(704) 806-0490
Mailing address
2010 STONEBRIDGE LN, CHARLOTTE, NC 28211-1716
(704) 806-0490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101YP2500X
NC
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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