Provider Demographics
NPI:1780137158
Name:LEBERT, HELEN
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:LEBERT
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 1:5455 KIRKWOOD DR
Mailing Address - Street 2:E8
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-1643
Mailing Address - Country:US
Mailing Address - Phone:510-499-2267
Mailing Address - Fax:
Practice Address - Street 1:2191 KIRKER PASS RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-1629
Practice Address - Country:US
Practice Address - Phone:510-499-2267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor