Individual
LESLIE GAULTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2700
Mailing address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1124
AL
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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