Individual
KENDYL LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
2605 E 3300 S, SLC, UT 84109-2728
(801) 828-6139
Mailing address
2827 S WAINWRIGHT RD, SLC, UT 84109-1819
(801) 828-6139
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8073723-6009
UT
Other
Enumeration date
03/24/2015
Last updated
07/24/2019
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