Individual provider · Type 1 NPI

Leslie William Howard Iv, MAFO, LPC

Professional Counselor · Chicago, IL

NPI number 1790355519 Active

Practice location

1409 W Irving Park Rd
Chicago, IL 60613-1920

Mailing address

1134 W Granville Ave Apt 1212
Chicago, IL 60660-5060

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.017088 (IL)

Professional Counselor: Definition to come...

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About NPI 1790355519

Leslie William Howard Iv, MAFO, LPC's National Provider Identifier is 1790355519, issued on Jun 25, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2021.