Individual
LESLI ST. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Contact information
Practice address
1591 TAOS RD, PUEBLO, CO 81006-1232
(719) 423-1341
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 423-1341
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000419
CO
101YP2500X
Professional Counselor
Primary
LPC.0012473
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACD.0000419
LICENSED ADDICTION COUNSELOR
CO
01
—
LPC.0012473
LPC
CO
Enumeration date
10/28/2014
Last updated
01/15/2025
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