NPI 1013034826

Dennis Keith Leisenring, PSYD

Practitioner Addiction (Substance Use Disorder) Counselor Stowe, VT

Practice location

Address: 234 Maple St Box 849, Stowe, VT 05672-4248
Phone: (802) 253-7337
Fax: (802) 253-7332
Mailing address: 166 Gold Brook Cir, Stowe, VT 05672-4535

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 000144 (VT)

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Registry record

NPI: 1013034826
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.