MEDICARE: PATRICIA H LEON MFTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	121369	CA

General Provider Information

NPI Number	:	1346376837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA H LEON MFTI

Provider Business Mailing Address
First Line	:	327 S K ST
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-5416
Country	:	US
Telephone Number	:	559-688-2043
Fax Number	:	559-688-1304

Provider Business Practice Location Address
First Line	:	711 N COURT ST
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-3638
Country	:	US
Telephone Number	:	559-627-1490
Fax Number	:	844-368-0871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	02/26/2025

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