Individual
MADELINE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
715 W MAIN ST STE N, JENKS, OK 74037-3553
(918) 200-9775
Mailing address
715 W MAIN ST STE N, JENKS, OK 74037-3553
(918) 200-9775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
08/21/2023
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