Individual provider · Type 1 NPI
Dennis Keith Leisenring, PSY D
Addiction (Substance Use Disorder) Counselor · Stowe, VT
NPI number
1013034826
Active
Practice location
234 Maple St, Box 849
Stowe, VT 05672-4248
Fax (802) 253-7332
Mailing address
166 Gold Brook Cir
Stowe, VT 05672-4535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000144 (VT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1013034826
Dennis Keith Leisenring, PSY D's National Provider Identifier is 1013034826, issued on Mar 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stowe, VT. The record was last updated on Jul 8, 2007.