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Individual

MISS JODIE A LEISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.ED, LPCC-S, CEAP

Contact information

Practice address
5650 BEAVER HEAD CT, COLUMBUS, OH 43230-6304
(614) 687-2535
Mailing address
5650 BEAVER HEAD CT, COLUMBUS, OH 43230-6304
(614) 687-2535

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.12000010-SUPV
OH
101YM0800X
Mental Health Counselor
Primary
E.1200010-SUPV
OH

Other

Enumeration date
10/15/2010
Last updated
03/28/2025
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