Provider Demographics
NPI:1548425929
Name:FIGUEROA, LEANDRA LYNNE
Entity Type:Individual
Prefix:
First Name:LEANDRA
Middle Name:LYNNE
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEANDRA
Other - Middle Name:LYNNE
Other - Last Name:MCCALLISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4321 TOMPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2820
Mailing Address - Country:US
Mailing Address - Phone:510-302-7892
Mailing Address - Fax:209-838-2531
Practice Address - Street 1:4321 TOMPKINS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2820
Practice Address - Country:US
Practice Address - Phone:510-302-7892
Practice Address - Fax:209-838-2531
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health