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Organization

CLEAR VISTA COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA LESKOWAT MS LCMHC (OWNER)
(918) 207-6499
Entity
Organization

Contact information

Practice address
1218 EAST BLVD STE E, CHARLOTTE, NC 28203-6158
(704) 912-1074
Mailing address
3838 SAXONBURY WAY, CHARLOTTE, NC 28269-9437

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659675304
OK
Enumeration date
05/20/2020
Last updated
05/20/2020
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