Individual
MRS. KRISTIN DIANE LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
131 W LEBANON ST, SUITE C&E, MOUNT AIRY, NC 27030-2935
(336) 716-0800
(336) 716-0822
Mailing address
131 W LEBANON ST, SUITE C&E, MOUNT AIRY, NC 27030-2935
(336) 786-1922
(336) 786-1923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7379
NC
Other
Enumeration date
05/28/2009
Last updated
02/28/2011
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