Individual provider · Type 1 NPI

Brian Douglas Leidal, MA LPC CMHC

Mental Health Counselor · Ann Arbor, MI

NPI number 1154083897 Active

Practice location

405 Little Lake Dr Ste A
Ann Arbor, MI 48103-6220

Mailing address

121 Wood St Apt 3
Bristol, RI 02809-3169

Other practice locations

  • 469 Centerville Rd Ste 105, Warwick, RI 02886-4356 · (313) 969-2288
  • 2301 S Huron Pkwy Ste 3D, Ann Arbor, MI 48104-5133 · (734) 719-0380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMHC01319 (RI)
Mental Health Counselor 101YM0800X10460707-6004 (UT)
Professional Counselor 101YP2500XLPC.0013400 (CO)
Mental Health Counselor Primary 101YM0800X6401223256 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1154083897

Brian Douglas Leidal, MA LPC CMHC's National Provider Identifier is 1154083897, issued on Oct 11, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ann Arbor, MI. The record was last updated on Sep 5, 2023.