Provider Demographics
NPI:1013671114
Name:LEBLANC, SIERRA (MA, AMFT)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11382
Mailing Address - Street 2:
Mailing Address - City:ZEPHYR COVE
Mailing Address - State:NV
Mailing Address - Zip Code:89448-3382
Mailing Address - Country:US
Mailing Address - Phone:907-982-5124
Mailing Address - Fax:
Practice Address - Street 1:850 COLORADO BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1733
Practice Address - Country:US
Practice Address - Phone:323-457-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor