Kathleen Judith Baca Leanos
Social Worker, Clinical in Oxnard, CA. Individual provider (NPI-1).
NPI number1386043370
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1386043370
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Judith Baca Leanos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2014
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 98974 | CA | Yes |
Practice location
1911 Williams DrOxnard, CA 93036-2612
Phone 661-510-2423
Mailing address
1911 Williams DrOxnard, CA 93036-2612
Phone 661-510-2423
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