Organization
CONGRUENCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GAYLE STEVENS M.ED. (LICENSED PROFESSIONAL COUNSELOR)
(919) 283-1274
Entity
Organization
Contact information
Practice address
605 W MAIN ST STE 101, CARRBORO, NC 27510-1693
(919) 283-1274
Mailing address
605 W MAIN ST STE 101, CARRBORO, NC 27510-1693
(919) 283-1274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427319839
NPPES
NC
Enumeration date
01/18/2019
Last updated
03/09/2023
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