Organization
LESLIE WADE KING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE WADE KING LPC-S (OWNER)
(713) 934-8121
Entity
Organization
Contact information
Practice address
2500 E TC JESTER BLVD, SUITE 267, HOUSTON, TX 77008-1365
(713) 934-8121
(713) 490-3167
Mailing address
16303 DRYSTONE LN, HOUSTON, TX 77095-4534
(713) 934-8121
(713) 490-3167
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211735001
—
TX
Enumeration date
05/13/2006
Last updated
03/16/2013
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