Individual
CHIQUITTA WILLIAMS LESENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
407 E FREMONT STREET, BURGAW, NC 28425
(910) 271-1532
Mailing address
705 KIWI STONE CIR, JACKSONVILLE, NC 28546-0066
(910) 271-1532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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