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Dr. Leslie Liberty
Adult Mental Health Clinic/Center in Stockton, California
NPI 1932791985

Dr. Leslie Liberty is an Adult Mental Health Clinic/Center based in Stockton, CA and is specialized in Adult Mental Health. Dr. Leslie Liberty practices in Stockton, CA. The NPI Number for Dr. Leslie Liberty is 1932791985 and holds a License No. (California).

The current practice location address for Dr. Leslie Liberty is 924 N Yosemite St, Stockton, CA and can be reached out via phone at 209-401-5741. You can also correspond with Dr. Leslie Liberty through the mailing address at PO BOX 4212, STOCKTON, CA - 95204-0212 (mailing address contact number: 209-401-5741).

Location: 924 N Yosemite St, Stockton, CA, 95204-0212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932791985
Provider Name
Dr. Leslie Liberty
Credential
Provider Entity Type
Organization
Address
924 N Yosemite St, Stockton, CA, 95204-0212
Phone Number
209-401-5741
Fax Number
Provider Enumeration Date
02/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCSW7173 01 CA BOARD OF BEHAVIORAL SCIENCES
institution
Provider Business Practice Location Address Details
Address
924 N Yosemite St
City
Stockton
State
California
Zip
95203-2217
Phone Number
209-401-5741
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 4212
City
Stockton
State
California
Zip
95204-0212
Phone Number
209-401-5741
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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