Individual
DAN LESLIE KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 3RD AVE, LONGMONT, CO 80501-5926
(303) 485-9086
Mailing address
635 GOOSEBERRY DR UNIT 1506, LONGMONT, CO 80503-6446
(303) 485-9086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0008201
CO
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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