Individual
KRISTINA MARIE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-170
Contact information
Practice address
3907 CHIPPEWA AVE, GILLETTE, WY 82718-6674
(949) 922-3043
(307) 363-4807
Mailing address
3907 CHIPPEWA AVE, GILLETTE, WY 82718-6674
(307) 682-3747
(307) 682-3748
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-170
WY
Other
Enumeration date
08/02/2010
Last updated
03/17/2018
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