| Doctor Name: | MR. SCOTT JOHN LEIKER |
| NPI Number: | 1265558068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2004014248 |
| Business Practice Address: | 601 Business Loop 60 West Suite 202 Columbia, MO - 65203 |
| Business Phone Number: | 5737777528 |
| Business Fax Number: | 5737777587 |
| Mailing Address: | 5942 Foothill Blvd, SAN LEANDRO |
| State: | CA |
| Postal Code: | 945782102 |
| Phone Number: | 5104811222 |
| Fax Number: | 5102766820 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2004014248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |