Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKOB LEISTNER, MA, LCMHC
Active Sole ProprietorJAKOB LEISTNER, MA, LCMHC is a Mental Health Counselor healthcare provider located in WOODBURY, Vermont. NPI 1336205335 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WOODBURY, VT
Registration Details
- NPI Number
- 1336205335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.660345033005 yrs)
- Last Updated
- Jan 18, 2025
- License
-
68-495 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 182WOODBURY, VT, 056810182Browse VT providers · Browse ZIP 05681
- Phone
- 8024616113
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.