JAKOB LEISTNER

HARDWICK, VT
NPI1336205335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VT  68-495)
Enumeration Date2006-12-28
Last Update Date2018-01-30
Business Address
JAKOB LEISTNER MA, LCMHC
39 CHURCH ST
HARDWICK, VT 05843-0147
Phone number: 802-461-6113
Mailing Address
JAKOB LEISTNER MA, LCMHC
PO BOX 182
WOODBURY, VT 05681-0182
Phone number: 802-461-6113