Provider Demographics
NPI:1285778183
Name:LEON, CATHERINE (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:LEON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2277 FAIR OAKS BLVD
Mailing Address - Street 2:SUITE 415
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5500
Mailing Address - Country:US
Mailing Address - Phone:916-225-6559
Mailing Address - Fax:916-333-4477
Practice Address - Street 1:2277 FAIR OAKS BLVD
Practice Address - Street 2:SUITE 415
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-5533
Practice Address - Country:US
Practice Address - Phone:916-225-6559
Practice Address - Fax:916-333-4477
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS189211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical