Leslie Charon Barton, LMFT

Individual provider Active NPI Marriage & Family Therapist · Grover Beach, CA

NPI 1679610331 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1679610331
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC34611 (CA)
Practice address
150 S 6TH St
Suite D
Grover Beach, CA 93433-2057
Phone
(805) 541-7908
Fax
(805) 474-1302
NPI assigned
Jan 31, 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

State licenses

LicenseStateTypeSpecialty
MFC34611CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC34611 CA Yes

Addresses

Primary practice location

150 S 6TH St
Suite D
Grover Beach, CA 93433-2057

Mailing address

150 S 6TH St
Suite D
Grover Beach, CA 93433-2057
Phone (805) 541-7908

Other providers in Grover Beach, CA

All providers in Grover Beach, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.