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Individual

LESLIE L WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC, ADC, ASDCS

Contact information

Practice address
204 SHORT ST, KINGSTREE, SC 29556-3927
(843) 806-2501
(843) 484-3641
Mailing address
607 3RD AVE, KINGSTREE, SC 29556-2819
(843) 372-3365

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
18022210
SC
101YP2500X
Professional Counselor
Primary
7515
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629267901
SC
05
PC2254
SC
Enumeration date
10/23/2007
Last updated
08/10/2022
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