Individual
KELLY DENISSE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1501 S WALDRON RD STE 100, FORT SMITH, AR 72903-2568
(479) 561-7600
(479) 434-4333
Mailing address
1501 S WALDRON RD STE 100, FORT SMITH, AR 72903-2568
(479) 259-3969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A2106018
AR
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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