Tabatha Lynn Leishman, SUDRC
NPI #1366132938 in Clearlake, California
Provider Information
- NPI Number
- 1366132938
- Entity Type
- Individual
- Name
- Tabatha Lynn Leishman, SUDRC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC
- Enumeration Date
- May 8, 2023
- Last Updated
- May 8, 2023
Practice Location
- Address
- 7000B S CENTER DR
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8131
- Phone
- (707) 274-9101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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