Individual
MRS. LESLIE RENO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
714 CAROLINA AVE STE A, YADKINVILLE, NC 27055-7793
(336) 818-0733
Mailing address
113 GWYN AVE, ELKIN, NC 28621-3422
(510) 619-6810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19564
NC
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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