Provider Demographics
NPI:1063610970
Name:PAPPIN, LESLIE ANN PATKA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:ANN PATKA
Last Name:PAPPIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 RAMONA DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3424
Mailing Address - Country:US
Mailing Address - Phone:408-871-0803
Mailing Address - Fax:
Practice Address - Street 1:2136 RAMONA DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3424
Practice Address - Country:US
Practice Address - Phone:408-871-0803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA5683569OtherCAL. DRIVERS LIC.