Provider Demographics
NPI:1740432301
Name:DANIEL, LESLIE RENEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:RENEE
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LESLIE
Other - Middle Name:CLARDY
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:303 EAST COLLEGE STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-712-2950
Mailing Address - Fax:
Practice Address - Street 1:303 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5709
Practice Address - Country:US
Practice Address - Phone:256-712-2950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1981101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional