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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LESLIE H PETRUK MA LPC NCC

Active Organization

LESLIE H PETRUK MA LPC NCC is a Professional Counselor organization located in CHARLOTTE, North Carolina. NPI 1417061466 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHARLOTTE, NC

Registration Details

NPI Number
1417061466
Provider Type
Organization
NPI Issued
Aug 18, 2006 (19.807519585978 yrs)
Last Updated
Mar 13, 2013
License
4290 (NC)

Practice Information

Address
1106 HARDING PL
CHARLOTTE, NC, 282042825
Browse NC providers · Browse ZIP 28204
Phone
7046650065
Fax
7043354001
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Organizations in CHARLOTTE, NC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.