Provider Demographics
NPI:1902074735
Name:REWINKEL BEDNARK, LESLEE JOYCE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LESLEE
Middle Name:JOYCE
Last Name:REWINKEL BEDNARK
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 1:1250 S PARKER RD # 201
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7559
Mailing Address - Country:US
Mailing Address - Phone:720-982-6624
Mailing Address - Fax:
Practice Address - Street 1:1250 S PARKER RD # 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7559
Practice Address - Country:US
Practice Address - Phone:720-982-6624
Practice Address - Fax:303-253-9092
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional