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NPI Code Detail

MEDICARE: LEONARD R. KAJS, PC

MEDICARE: LEONARD R. KAJS, PC
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
1101YM0800XMental Health Counselor03262TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376800755
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEONARD R. KAJS, PC
Provider Business Mailing Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-979-7100
Fax Number : 210-979-7909
Provider Business Practice Location Address
First Line : 1978 BABCOCK RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4512
Country : US
Telephone Number : 210-979-7100
Fax Number : 210-979-7909
Authorized Official
Title or Position : PRESIDENT
Name : MR. LEONARD R. KAJS
Credential : LCSW
Telephone Number : 210-979-7100
Provider Enumeration Date : 04/23/2012
Last Update Date : 07/17/2012

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