Individual
LESLIE F SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
9 DAVISON AVE, SUITE #3, JAMESBURG, NJ 08831-1373
(732) 997-0214
Mailing address
9 DAVISON AVE STE 7, JAMESBURG, NJ 08831-1373
(732) 997-0214
(732) 338-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00439900
NJ
101YP2500X
Professional Counselor
Primary
37PC00439900
NJ
Other
Enumeration date
03/08/2012
Last updated
04/17/2024
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