Individual
ERIC LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
485 WILDWOOD PKWY, STE 1, BALLWIN, MO 63011-2667
(636) 386-0859
(636) 230-8600
Mailing address
437 BUCKHURST DR, BALLWIN, MO 63021-8348
(636) 386-0859
(636) 230-8600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2132
MO
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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