Individual
GLORIA LOUISE LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LCAS, CRC
Contact information
Practice address
620 LYNNDALE CT STE C, GREENVILLE, NC 27858-5462
(252) 752-8602
Mailing address
2754 ANGE ST, WINTERVILLE, NC 28590-7913
(919) 221-4158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1575
NC
101YP2500X
Professional Counselor
Primary
8346
NC
Other
Enumeration date
08/21/2011
Last updated
03/10/2026
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