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NPI Code Detail

MEDICARE: LESLIE GERARD

MEDICARE: LESLIE GERARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3181NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851316608
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE GERARD
Provider Business Mailing Address
First Line : 1782 BERGENFIELD RD
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7101
Country : US
Telephone Number : 336-776-8997
Fax Number : 336-725-4030
Provider Business Practice Location Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 336-607-8501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/28/2025

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Directions to “ LESLIE GERARD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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