Healthcare Provider Details

I. General information

NPI: 1821027566
Provider Name (Legal Business Name): CHE ARABELLA LESEUR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12264 EL CAMINO REAL STE 203
SAN DIEGO CA
92130-3061
US

IV. Provider business mailing address

12264 EL CAMINO REAL STE 203
SAN DIEGO CA
92130-3061
US

V. Phone/Fax

Practice location:
  • Phone: 858-279-1223
  • Fax: 858-476-6933
Mailing address:
  • Phone: 859-279-1223
  • Fax: 858-467-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: