Most Relevant Information
Provider Data
| NPI Number: | 1003334186 |
| Provider Name: | LEIGH ANN MARIE GREENFIELD MFTI |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 100551 |
Most Important Dates
| Enumeration Date: | 09/08/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
11600 ELDRIDGE AVE
LAKE VIEW TERRACE
CA
913426506
Practice Location Phone/Fax
| Phone: | 8186863000 |
| Fax: |
Provider Mailing Location
11600 ELDRIDGE AVENUE
PHOENIX HOUSE OUTPATIENT MENTAL HEALTH PROGRAM
LAKE VIEW TERRACE
CA
91342
Provider Mailing Phone/Fax
| Phone: | 8186863000 |
| Fax: |