Individual
MRS. LESLIE L BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPC, LCMHC
Contact information
Practice address
533 26TH ST STE 202, OGDEN, UT 84401-2459
(801) 564-1696
(801) 880-9863
Mailing address
3418 W 5825 S, ROY, UT 84067-9059
(801) 564-1696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
75231546009
UT
Other
Enumeration date
12/01/2009
Last updated
01/28/2014
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