Provider Demographics
NPI:1396720009
Name:BAUGHMAN, LESLIE WHITTEN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:WHITTEN
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:ANNE
Other - Last Name:WHITTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:5960 S LAND PARK DR # 607
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3313
Mailing Address - Country:US
Mailing Address - Phone:916-850-9387
Mailing Address - Fax:
Practice Address - Street 1:133 KELLER CIR
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-7616
Practice Address - Country:US
Practice Address - Phone:916-850-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41380106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist