Leslie Tucker Smith, MFT
Individual provider Active NPI Marriage & Family Therapist · Georgetown, CA
NPI 1619004710 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1619004710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 50124 (CA)
- Practice address
- 6087 Front St
Suite 2
Georgetown, CA 95634-9358 - Phone
- (530) 919-1616
- Fax
- (530) 333-4114
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 50124 | CA | Yes |
Addresses
Primary practice location
6087 Front St
Suite 2
Georgetown, CA 95634-9358
Mailing address
PO Box 360
Georgetown, CA 95634-0360
Phone (530) 333-1331
Other providers in Georgetown, CA
- Barbara Anne Martin
- Laura Miller
- Armando Jesus Rodriguez
- Jessica Schwanke
- Janis Leigh Smith
- Brandi Dee Stahr
- Megan Laine Vu
- William Garland Windle
- Your Mental Health Matters With Laura Curry Marriage and Family TH
All providers in Georgetown, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.