Provider Demographics
NPI:1124324546
Name:SCHAEFER, LESHA LOUISE
Entity type:Individual
Prefix:
First Name:LESHA
Middle Name:LOUISE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 KENYON DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-4121
Mailing Address - Country:US
Mailing Address - Phone:530-410-8190
Mailing Address - Fax:
Practice Address - Street 1:1871 KENYON DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-4121
Practice Address - Country:US
Practice Address - Phone:530-410-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator