Individual provider · Type 1 NPI
Timothy Leistner, EDD
Mental Health Counselor · Hollywood, FL
NPI number
1194360412
Active
Practice location
3911 Hollywood Blvd # 3201
Hollywood, FL 33021-6795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1194360412
Timothy Leistner, EDD's National Provider Identifier is 1194360412, issued on Nov 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hollywood, FL. The record was last updated on Dec 10, 2019.