Provider Demographics
NPI:1013435775
Name:LEPORATI, GABRIEL MARTIN (MS, PPS, LPCC)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:MARTIN
Last Name:LEPORATI
Suffix:
Gender:M
Credentials:MS, PPS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 16TH ST APT 512
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-1682
Mailing Address - Country:US
Mailing Address - Phone:916-521-8970
Mailing Address - Fax:
Practice Address - Street 1:501 16TH ST APT 512
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-1682
Practice Address - Country:US
Practice Address - Phone:916-521-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health