Individual
JESSICA LEISTIKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LCMHC
Contact information
Practice address
1931 NEW GARDEN RD STE 204, GREENSBORO, NC 27410-2558
(919) 391-0122
(919) 289-1758
Mailing address
1931 NEW GARDEN RD STE 204, GREENSBORO, NC 27410-2558
(919) 391-0122
(919) 289-1758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15748
NC
Other
Enumeration date
06/15/2020
Last updated
04/30/2025
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