Provider Demographics
NPI:1942457163
Name:LEON, MONICA G (LMFT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:G
Last Name:LEON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21243 VENTURA BLVD
Mailing Address - Street 2:#118
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-979-0065
Mailing Address - Fax:818-888-7218
Practice Address - Street 1:21243 VENTURA BLVD
Practice Address - Street 2:#118
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-979-0065
Practice Address - Fax:818-888-7218
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107430106H00000X
CA94117106H00000X
225400000X
CA63629251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No251S00000XAgenciesCommunity/Behavioral Health