# LESLEY CANTOR A FAMILY THERAPY PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lesley Cantor MFT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235979709
- **Authorized official:** LESLEY AVIVA CANTOR MFT (CEO)
- **Authorized official phone:** (925) 788-3621

## Contact information

- **Practice address:** 7765 HEALDSBURG AVE STE 17, SEBASTOPOL, CA 95472-3310
- **Practice address phone:** (925) 788-3621
- **Mailing address:** 7765 HEALDSBURG AVE STE 17, SEBASTOPOL, CA 95472-3310
- **Mailing address phone:** (925) 788-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2024
- **Last updated:** 05/30/2024