Individual
JARED KYLE LEADERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
421 N SHORELINE BLVD, SUITE 4, MOUNTAIN VIEW, CA 94043
(424) 248-5586
Mailing address
3900 FABIAN WAY, PALO ALTO, CA 94303-4605
(424) 248-5586
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6389
CA
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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