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NPI Code Detail

MEDICARE: TARA ESTHER GEER-LEIKER LPC

MEDICARE: TARA ESTHER GEER-LEIKER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2004020209MO
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1700988490
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA ESTHER GEER-LEIKER LPC
Provider Business Mailing Address
First Line : 2513 24TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-3556
Country : US
Telephone Number : 415-642-5968
Fax Number : 510-568-8416
Provider Business Practice Location Address
First Line : 2513 24TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-3556
Country : US
Telephone Number : 415-642-5968
Fax Number : 510-568-8416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 08/17/2010

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Directions to “ TARA ESTHER GEER-LEIKER LPC” Practice Location

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