Individual
CARLOS ANDRES LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC II
Contact information
Practice address
4820 BUSINESS CENTER DR, FAIRFIELD, CA 94534-1696
(707) 224-8266
Mailing address
1621 LOUISIANA ST, VALLEJO, CA 94590-4744
(369) 217-1123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7289
CA
372600000X
Adult Companion
—
CA
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
08/25/2022
Last updated
03/27/2026
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