Leazenby, Justin

Leazenby, Justin is an sole proprietor health care provider with primary practice located at 9324 W Stockton Blvd , Elk Grove CA 95758-8012. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leazenby, Justin can be contacted via phone (707) 651-2615.

Contact Information

Primary practice address
9324 W Stockton Blvd Elk Grove CA 95758-8012
Phone: (707) 651-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY27882 California

Profile Details

NPI number 1275997579
LBN Legal business name Leazenby, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2016
Last updated Jan 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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