Individual
MRS. AMY LYNN LESANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1911 S 17TH ST, WILMINGTON, NC 28401-6662
(910) 791-9625
(910) 791-9799
Mailing address
6526 OLD FORT RD, WILMINGTON, NC 28411-4764
(910) 471-8002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8922
NC
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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