Provider Demographics
NPI:1598429243
Name:DICKINSON, LESLIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:
Last Name:DICKINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9145 BELL FLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-2745
Mailing Address - Country:US
Mailing Address - Phone:719-484-9239
Mailing Address - Fax:
Practice Address - Street 1:7505 VILLAGE SQUARE DR STE 207
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3693
Practice Address - Country:US
Practice Address - Phone:303-323-4722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
COLPC.0014284OtherDORA