Individual provider · Type 1 NPI
Jared Kyle Leaderman, LPCC
Professional Counselor · Mountain View, CA
NPI number
1114587953
Active
Practice location
421 N Shoreline Blvd, Suite 4
Mountain View, CA 94043
Mailing address
3900 Fabian Way
Palo Alto, CA 94303-4605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6389 (CA) |
Professional Counselor: Definition to come...
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About NPI 1114587953
Jared Kyle Leaderman, LPCC's National Provider Identifier is 1114587953, issued on Jun 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mountain View, CA. The record was last updated on Jun 14, 2019.