Doctor Name: | MRS. MARY-HELEN B LEET |
NPI Number: | 1023156700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, MFT |
License Number: | MA15155 |
Business Practice Address: | 3485 Oyster Bay Ave Davis, CA - 956165607 |
Business Phone Number: | 5307530161 |
Business Fax Number: | |
Mailing Address: | 3485 Oyster Bay Ave, DAVIS |
State: | CA |
Postal Code: | 956165607 |
Phone Number: | 5307530161 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MA15155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |