Individual provider · Type 1 NPI
Kimberly N. Leatherdale, ATR, LPC
Mental Health Counselor · Pluckemin, NJ
NPI number
1497829436
Active
Practice location
254 Routes 202 206, Second Floor
Pluckemin, NJ 07978
Mailing address
PO Box 87
Pluckemin, NJ 07978-0087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37PC00043700 (NJ) |
Mental Health Counselor: Definition to come...
About NPI 1497829436
Kimberly N. Leatherdale, ATR, LPC's National Provider Identifier is 1497829436, issued on Nov 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pluckemin, NJ. The record was last updated on Jul 8, 2007.