Individual
LESLIE ANN GUILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
7611 STATE LINE RD, STE 135, KANSAS CITY, MO 64114-6801
(816) 361-2666
Mailing address
7611 STATE LINE RD, STE 135, KANSAS CITY, MO 64114-6801
(816) 361-2666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498246107
—
MO
Enumeration date
06/04/2006
Last updated
09/10/2008
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