Individual
ALYSIA LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1554 UNION RD STE C, GASTONIA, NC 28054-5581
(704) 869-2047
Mailing address
1554 UNION RD STE C, GASTONIA, NC 28054-5581
(704) 869-2047
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2227
NC
Other
Enumeration date
06/08/2017
Last updated
04/21/2025
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