Individual
LESLIE KIRKENDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LESLIE KIRKENDOLL
Contact information
Practice address
2715 MACKEY PL, SHREVEPORT, LA 71118-2544
(318) 220-8423
Mailing address
359 HIGHLAND VILLAGE DR, MESQUITE, TX 75149-2481
(318) 820-0862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008533661
LA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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