Individual
LESLIE NEVINS TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, MAC
Contact information
Practice address
420 THE PKWY STE K, GREER, SC 29650-5205
(864) 382-1515
Mailing address
104 FARRAR LN, GREER, SC 29650-2632
(864) 382-1515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1411259
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
508958
SC
101YP2500X
Professional Counselor
Primary
5562
SC
Other
Enumeration date
04/05/2012
Last updated
12/20/2024
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