Individual
LESA LEAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 GOVERNMENT AVE SW STE 305, HICKORY, NC 28602-2954
(828) 267-1740
(828) 267-1746
Mailing address
315 WILKESBORO BLVD NE STE 1A, LENOIR, NC 28645-4498
(828) 754-6087
(828) 754-1344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C008533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C008533
NC STATE LICENSE
NC
Enumeration date
08/25/2016
Last updated
08/25/2016
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