Individual
MR. LESLIE I GURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0800
Mailing address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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