Provider Demographics
NPI:1215028212
Name:WEBBER, LEON T (DMN LMFT)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:T
Last Name:WEBBER
Suffix:
Gender:M
Credentials:DMN LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 DENALI ST
Mailing Address - Street 2:#203
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503
Mailing Address - Country:US
Mailing Address - Phone:907-646-7600
Mailing Address - Fax:907-272-1553
Practice Address - Street 1:2605 DENALI ST
Practice Address - Street 2:#203
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503
Practice Address - Country:US
Practice Address - Phone:907-646-7600
Practice Address - Fax:907-272-1553
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK53106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist