Individual provider · Type 1 NPI

Jennifer Renee Leister, MA

Professional Counselor · Dallas, TX

NPI number 1912040643 Active

Practice location

17480 Dallas Pkwy, Suite 230
Dallas, TX 75287-7337

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X19296 (TX)

Professional Counselor: Definition to come...

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About NPI 1912040643

Jennifer Renee Leister, MA's National Provider Identifier is 1912040643, issued on Feb 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.