Individual
LESLIE NUCKOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
222 HACKAMORE LANE, CAMDEN, SC 29020-1755
(770) 845-6711
Mailing address
945 N POINT DR, ALPHARETTA, GA 30022-8266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009657
GA
Other
Enumeration date
01/29/2018
Last updated
01/27/2023
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