Individual
LESLIE GOINS PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
769 N WENDOVER RD, CHARLOTTE, NC 28211
(704) 376-7180
(704) 531-9266
Mailing address
8344 LAUREL RUN DR, CHARLOTTE, NC 28269-6188
(704) 608-9377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4662
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102691
—
NC
Enumeration date
04/12/2007
Last updated
11/08/2019
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