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1336205335
JAKOB LEISTNER
HARDWICK, VT
NPI
1336205335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VT 68-495)
Enumeration Date
2006-12-28
Last Update Date
2018-01-30
Business Address
JAKOB LEISTNER MA, LCMHC
39 CHURCH ST
HARDWICK, VT 05843-0147
Phone number: 802-461-6113
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Mailing Address
JAKOB LEISTNER MA, LCMHC
PO BOX 182
WOODBURY, VT 05681-0182
Phone number: 802-461-6113
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