Individual
LESLIE H PETRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1821 CUMBERLAND AVE, CHARLOTTE, NC 28203-6112
(704) 665-0065
Mailing address
1821 CUMBERLAND AVE, CHARLOTTE, NC 28203-6112
(704) 665-0065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4290
NC
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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