Provider Demographics
NPI:1730232190
Name:GOWER, LESLIE A (LPC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:A
Last Name:GOWER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E DALLAS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8956
Mailing Address - Country:US
Mailing Address - Phone:956-624-5978
Mailing Address - Fax:956-627-0911
Practice Address - Street 1:804 PECAN BLVD STE 10
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2453
Practice Address - Country:US
Practice Address - Phone:956-624-5978
Practice Address - Fax:956-627-0911
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19924101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional