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Jakob Leistner, MA,LCMHC
Mental Health Counselor in Hardwick, Vermont
NPI 1336205335

Jakob Leistner is a Mental Health Counselor based in Woodbury, VT and is specialized in Mental Health. Jakob Leistner practices in Hardwick, VT and has the professional credentials of MA,LCMHC. The NPI Number for Jakob Leistner is 1336205335 and holds a License No. 68-495 (Vermont).

The current practice location address for Jakob Leistner is 39 Church St, Hardwick, VT and can be reached out via phone at 802-461-6113.

Location: 39 Church St, Hardwick, VT, 05681-0182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336205335
Provider Name
Jakob Leistner
Credential
MA,LCMHC
Provider Entity Type
Individual
Gender
Male
Address
39 Church St, Hardwick, VT, 05681-0182
Phone Number
802-461-6113
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007355 05 VT
institution
Provider Business Practice Location Address Details
Address
39 Church St
City
Hardwick
State
Vermont
Zip
05843-0147
Phone Number
802-461-6113
Fax Number
person
Provider Business Mailing Address Details
Address
39 Church St
City
Hardwick
State
Vermont
Zip
05843-0147
Phone Number
802-461-6113
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
68-495 (Vermont)
Definition
Definition to come...
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