Most Relevant Information
Provider Data
| NPI Number: | 1003328857 |
| Provider Name: | LESLIE ERIN BOLOCK MA, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2289 |
Most Important Dates
| Enumeration Date: | 11/02/2017 |
| Last Updated: | 11/02/2017 |
Provider Practice Location
2606 NATIONAL RD
WHEELING
WV
260035370
Practice Location Phone/Fax
| Phone: | 3042427060 |
| Fax: |
Provider Mailing Location
2606 NATIONAL RD
WHEELING
WV
260035370
Provider Mailing Phone/Fax
| Phone: | 3042427060 |
| Fax: |