Individual
PRESTON DAVID KADLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
285 W 800 S, ROOSEVELT, UT 84066-3707
(435) 725-6300
(435) 725-6325
Mailing address
1140 W 500 S STE 9, VERNAL, UT 84078-2912
(435) 725-6300
(435) 725-6325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10366581-3904
UT
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
10366581-3902
UT
251S00000X
Community/Behavioral Health Agency
—
UT
Other
Enumeration date
05/15/2017
Last updated
07/18/2019
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