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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X68-495 (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.