Individual
JASON RICHARD LEITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1814 8TH AVE, FORT WORTH, TX 76110-1354
(682) 292-8083
Mailing address
3320 VINE RDG, BEDFORD, TX 76021-3930
(817) 980-4111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88012
TX
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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