Individual
TAMARA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2450 VINSON HWY SE, MILLEDGEVILLE, GA 31061-4881
(478) 387-8370
Mailing address
110 CATIE LN SE, MILLEDGEVILLE, GA 31061-8324
(478) 387-8370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009079
GA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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