Individual
LESLIE NICOLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5023 MINERVA AVE, SAINT LOUIS, MO 63113-1401
(314) 897-0724
Mailing address
5501 DELMAR BLVD, SAINT LOUIS, MO 63112-3054
(314) 897-0724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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