Individual
LESLEE K COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
Mailing address
343 S 790 W, #204, PLEASANT GROVE, UT 84062-2251
(801) 427-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5677058-6005
UT
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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