Individual provider · Type 1 NPI
Jakob Leistner, MA, LCMHC
Mental Health Counselor · Woodbury, VT
NPI number
1336205335
Active
Practice location
PO Box 182
Woodbury, VT 05681-0182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 68-495 (VT) |
Mental Health Counselor: Definition to come...
About NPI 1336205335
Jakob Leistner, MA, LCMHC's National Provider Identifier is 1336205335, issued on Dec 28, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, VT. The record was last updated on Jan 18, 2025.