Individual
DR. DENNIS KEITH LEISENRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
234 MAPLE ST, BOX 849, STOWE, VT 05672-4248
(802) 253-7337
(802) 253-7332
Mailing address
166 GOLD BROOK CIR, STOWE, VT 05672-4535
(802) 253-8498
(802) 253-7332
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000144
VT
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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