Individual provider · Type 1 NPI
Leonard Dalian Rideau Iii
Mental Health Counselor · San Jose, CA
NPI number
1255588182
Active
Practice location
96 S 14th St
San Jose, CA 95112-2015
Mailing address
1922 The Alameda Ste 316
San Jose, CA 95126-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1255588182
Leonard Dalian Rideau Iii's National Provider Identifier is 1255588182, issued on Aug 21, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 22, 2023.