Individual
JODI LEIB CODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RDT, CATP, CDP
Contact information
Practice address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(248) 880-6600
(248) 817-8458
Mailing address
6725 DALY RD UNIT 251952, WEST BLOOMFIELD, MI 48325-3280
(248) 880-6600
(248) 817-8458
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
221700000X
Art Therapist
—
—
225600000X
Dance Therapist
—
—
225800000X
Recreation Therapist
—
—
225A00000X
Music Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
6352000923
MI
Other
Enumeration date
01/09/2020
Last updated
04/28/2026
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