Healthcare Provider Details

I. General information

NPI: 1023921715
Provider Name (Legal Business Name): LEAH J CRIST MS, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 E BIDWELL ST
FOLSOM CA
95630-3682
US

IV. Provider business mailing address

8024 RED PINE CT
CITRUS HEIGHTS CA
95610-4626
US

V. Phone/Fax

Practice location:
  • Phone: 916-294-9035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: