Individual
DR. LESLIE K GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
654 W CANYON CREEK DR, LEEDS, UT 84746
(435) 652-4596
Mailing address
PO BOX 461144, LEEDS, UT 84746-1144
(435) 652-4596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4540
MA
101YP2500X
Professional Counselor
Primary
47998256004
UT
Other
Enumeration date
05/23/2007
Last updated
02/10/2015
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