Organization
L.C. BRAXTON COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE CAMILLE BRAXTON LPC (OWNER/LICENSED PROFESSIONAL COUNSEL)
(919) 961-0334
Entity
Organization
Contact information
Practice address
5700 SIX FORKS RD STE 202, RALEIGH, NC 27609-8616
(919) 961-0334
(919) 882-1553
Mailing address
5700 SIX FORKS RD STE 202, RALEIGH, NC 27609-8616
(919) 961-0334
(919) 882-1553
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053606848
—
NC
Enumeration date
10/16/2019
Last updated
10/16/2019
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