Individual
LESLIE GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(336) 607-8501
Mailing address
1782 BERGENFIELD RD, MOUNT PLEASANT, SC 29466-7101
(336) 776-8997
(336) 725-4030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102540
—
NC
Enumeration date
07/13/2006
Last updated
03/28/2025
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