RAND LESLIE KANNENBERG

LAKEWOOD, CO
NPI1528201019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACD37)
Enumeration Date2009-04-13
Last Update Date2011-10-15
Business Address
-- RAND LESLIE KANNENBERG Retired - Expired
7475 W 5TH AVE 150
LAKEWOOD, CO 80226-1649
Phone number: 303-232-0767
Mailing Address
-- RAND LESLIE KANNENBERG Retired - Expired
7475 W 5TH AVE 150
LAKEWOOD, CO 80226-1649
Phone number: 303-232-0767
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