TIMOTHY LEISTNER

HOLLYWOOD, FL
NPI1194360412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-11-11
Last Update Date2019-12-10
Business Address
TIMOTHY LEISTNER EDD
3911 HOLLYWOOD BLVD # 3201
HOLLYWOOD, FL 33021-6795
Phone number: 954-639-7345
Mailing Address
TIMOTHY LEISTNER EDD
3911 HOLLYWOOD BLVD # 3201
HOLLYWOOD, FL 33021-6795
Phone number: 954-639-7345