Individual
ANNIKA LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
(800) 749-1266
Mailing address
4892 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
12/14/2021
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