Individual
KELLY LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
11075 S STATE ST STE 13, SANDY, UT 84070-5193
(801) 890-0737
Mailing address
11075 S STATE ST STE 13, SANDY, UT 84070-5193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11797552-3902
UT
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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