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General NPI Number Information
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NPI Number | 1659008746
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Entity Type | Individual
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Provider Name | LESLEY PENA LPC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 750 S CHURCH ST
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City | SPARTANBURG
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State | SC
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Zip | 29306-5348
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Country | US
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Telephone | 864-582-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 5105 THOMPSON ST
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City | CHESNEE
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State | SC
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Zip | 29323-8219
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Country | US
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Telephone | 843-729-1088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9333
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License Number State | SC
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