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TABATHA LYNN LEISHMAN SUDRC
NPI 1366132938
Counselor - Addiction (Substance Use Disorder) in Clearlake, CA

Active since May 08, 2023
7000B S CENTER DR, CLEARLAKE, CA 95422(707) 274-9101 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tabatha Lynn Leishman Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABATHA LYNN LEISHMAN SUDRC (NPI 1366132938) is an individual addiction (substance use disorder) provider in Clearlake, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1366132938
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTABATHA LYNN LEISHMANCredential: SUDRC
Location Address7000B S CENTER DRClearlake, CA 95422-8131
Mailing Address13955 Walnut WayClearlake Oaks, CA 95423-9690 · (707) 354-1268
Phone(707) 274-9101
Sole ProprietorNo
Enumeration DateMay 8, 2023
NPPES CertifiedMay 8, 2023
✔ NPI 1366132938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
7000B S CENTER DR, Clearlake, CA 95422
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY GATTONI
Peer Specialist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 533-5829
KALI MULLIGAN
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MR. DENNIS BARTON SKINNER MFT
Marriage & Family Therapist
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
TANISHA ROJO MEDICAL ASSISTANT
Case Manager/Care Coordinator
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 274-9101
ANGELA ALFORD-WHITING RN
Registered Nurse
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
RICHARD ALLAN COHN JR.
Counselor (Mental Health)
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090
MS. STEPHANIE OSTERMAN ODNEY CAADAC
Counselor (Addiction (Substance Use Disorder))
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-6494
ELIZABETH SALCEDO ABRICA MSW
Student in an Organized Health Care Education/Training Program
7000B S CENTER DR
CLEARLAKE, CA 95422
Lake County (707) 994-7090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabatha Leishman's NPI number?

The NPI number for Tabatha Leishman is 1366132938. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Tabatha Leishman located?

Tabatha Leishman practices at 7000B S Center Dr, Clearlake, CA 95422. The listed phone number is (707) 274-9101.

What is Tabatha Leishman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tabatha Leishman was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.