Madeline Leslie, LPC
Counselor, Professional in Jenks, OK. Individual provider (NPI-1).
NPI number1982170130
StatusActive
Last updated in NPPESAug 21, 2023
Details
- NPI
- 1982170130
- Entity type
- Individual (NPI-1)
- Name
- Madeline Leslie
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2018
- Certification date
- Aug 21, 2023
- Last updated
- Aug 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
715 W Main St Ste NJenks, OK 74037-3553
Phone 918-200-9775
Mailing address
715 W Main St Ste NJenks, OK 74037-3553
Phone 918-200-9775
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