Provider Demographics
NPI:1891827770
Name:LEON, ALEJANDRO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:
Last Name:LEON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 CALIFORNIA AVE, TOWER A, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7098
Mailing Address - Country:US
Mailing Address - Phone:661-852-2800
Mailing Address - Fax:661-852-2777
Practice Address - Street 1:4900 CALIFORNIA AVE
Practice Address - Street 2:TOWER A, SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7024
Practice Address - Country:US
Practice Address - Phone:661-852-2800
Practice Address - Fax:661-852-2777
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW606881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical