LESLIE PATRICE GRAHAM WILSON LPC NPI 1174195903

NPI Information

NPI: 1174195903
Provider Name: LESLIE PATRICE GRAHAM WILSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12 AUDUBON AVE APT 205
JERSEY CITY, NJ
ZIP 07305
Phone: (551) 697-0515
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Leslie Patrice Graham Wilson, LPC is a professional counselor in Jersey City, NJ. Leslie Patrice Graham Wilson, LPC NPI is 1174195903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 AUDUBON AVE APT 205
JERSEY CITY, NJ
ZIP 07305-222
Phone: (551) 697-0515
Fax: (201) 975-5726

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	37PC00495300	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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