Individual
LESLIE RIELAGE-RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LMHC
Contact information
Practice address
435 E MAIN ST STE 200, GREENWOOD, IN 46143-1457
(317) 743-8202
Mailing address
435 E MAIN ST STE 200, GREENWOOD, IN 46143-1457
(317) 743-8202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.010290
IL
101YM0800X
Mental Health Counselor
Primary
39004238A
IN
Other
Enumeration date
06/21/2016
Last updated
01/24/2023
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