Individual
JEFFREY LEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6048 S DURANGO DR STE 115, LAS VEGAS, NV 89113-1781
(702) 815-1550
Mailing address
4811 FARLINGTON DR, LAS VEGAS, NV 89147-4847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07406
NV
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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