Provider Demographics
NPI:1710437900
Name:KINDER, LEAH SAMANTHA (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:SAMANTHA
Last Name:KINDER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E HANOVER AVE STE 401B
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-2020
Mailing Address - Country:US
Mailing Address - Phone:973-602-9754
Mailing Address - Fax:973-241-1185
Practice Address - Street 1:100 E HANOVER AVE STE 401B
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2020
Practice Address - Country:US
Practice Address - Phone:973-602-9754
Practice Address - Fax:973-241-1185
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00705200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health