Provider Demographics
NPI:1831394006
Name:FRENCH-BAXTER, LESLIE CAROL (LMFT)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:CAROL
Last Name:FRENCH-BAXTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:CAROL
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:709 OAK DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-2723
Mailing Address - Country:US
Mailing Address - Phone:831-477-0488
Mailing Address - Fax:831-477-0488
Practice Address - Street 1:5905 SOQUEL DR
Practice Address - Street 2:SUITE 550
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-2855
Practice Address - Country:US
Practice Address - Phone:831-239-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38026106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist