Brandi Leos, SUDCCII is a
Rehabilitation Practitioner based in Fresno, California. Brandi Leos is licensed to practice in * (Not Available) (license number ) and her current practice location is
3043 W Roberts Ave, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 352-0860.
NPI number for Brandi Leos is 1932574225 and her current mailing address is Po Box 26622, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932574225.
Healthcare Provider's Profile
| Full Name | Brandi Leos |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 3043 W Roberts Ave, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932574225
- Provider Enumeration Date: 12/11/2015
- Last Update Date: 09/19/2025
Medical Identifiers
Medical identifiers for Brandi Leos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932574225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8308 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi Leos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandi Leos, SUDCCII
Po Box 26622,
Fresno, CA 93729-6622
Ph: (559) 352-0860 | Brandi Leos, SUDCCII
3043 W Roberts Ave,
Fresno, CA 93711-2160
Ph: (559) 352-0860 |
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