Jonathan Leisten
NPI #1376088922 in Colleyville, Texas
Provider Information
- NPI Number
- 1376088922
- Entity Type
- Individual
- Name
- Jonathan Leisten
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 5, 2017
- Last Updated
- Jan 5, 2017
Practice Location
- Address
- 7709 OVERLOOK DR
- City
- Colleyville
- State
- Texas
- ZIP Code
- 76034-1159
- Phone
- (682) 554-0106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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