Provider Demographics
NPI:1407996077
Name:MCHATTON, LELAND E (MFT)
Entity Type:Individual
Prefix:MR
First Name:LELAND
Middle Name:E
Last Name:MCHATTON
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 EAST AVE STE 4C
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1629
Mailing Address - Country:US
Mailing Address - Phone:530-566-1212
Mailing Address - Fax:
Practice Address - Street 1:1430 EAST AVE STE 4C
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1629
Practice Address - Country:US
Practice Address - Phone:530-566-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44246106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist