Individual
DYLAN ROSS LEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 WESTVIEW DR, BOULDER, CO 80303-3048
(720) 587-9173
Mailing address
1034 WESTVIEW DR, BOULDER, CO 80303-3048
(720) 587-9173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0020793
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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