Provider Demographics
NPI:1649309683
Name:LEIGHTON, LINDA
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LEIGHTON
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 1:2299 INDIAN ROCK LN
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-9564
Mailing Address - Country:US
Mailing Address - Phone:530-887-8394
Mailing Address - Fax:530-823-2891
Practice Address - Street 1:2299 INDIAN ROCK LN
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9564
Practice Address - Country:US
Practice Address - Phone:530-887-8394
Practice Address - Fax:530-823-2891
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor