Individual provider · Type 1 NPI
Leslie Brodie Wilder, LCMHCS, LCAS
Mental Health Counselor · Wilmington, NC
NPI number
1194164459
Active
Practice location
4804 Wedgefield Dr
Wilmington, NC 28409-3981
Other practice locations
- 1650 Greenfield St, Wilmington, NC 28401-6456 · (910) 798-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3294 (NC) |
| Professional Counselor | 101YP2500X | 10318 (NC) |
| Mental Health Counselor Primary | 101YM0800X | S10318 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1194164459
Leslie Brodie Wilder, LCMHCS, LCAS's National Provider Identifier is 1194164459, issued on Jun 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Sep 28, 2023.