Individual
KATHLEEN LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 IDYLWILD TRL, #100, BOULDER, CO 80301-3523
(720) 924-7559
Mailing address
PO BOX 21542, BOULDER, CO 80308-4542
(720) 346-1401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012692
CO
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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