Individual
LESLIE LALANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C, NCC
Contact information
Practice address
1132 LOWER DRY CREEK RD, LACEYS SPRING, AL 35754-3720
(256) 690-4982
Mailing address
1132 LOWER DRY CREEK RD, LACEYS SPRING, AL 35754-3720
(256) 690-4982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2610 - LPC
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51537652
BCBS
AL
Enumeration date
10/24/2006
Last updated
06/03/2016
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