Leslie Bowllan, MS, LCMHC
Counselor, Mental Health in Cornelius, NC. Individual provider (NPI-1).
NPI number1962033449
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1962033449
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leslie Bowllan
- Credential
- MS, LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2020
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 12436 | NC | Yes |
Practice location
20816 N Main St Ste 203Cornelius, NC 28031-8468
Phone 704-464-2232
Mailing address
20816 N Main St Ste 203Cornelius, NC 28031-8468
Phone 704-464-2232
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