Individual provider · Type 1 NPI

Shane Leal

Mental Health Counselor · San Luis Obispo, CA

NPI number 1629454970 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Call (805) 781-3535 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629454970

Shane Leal's National Provider Identifier is 1629454970, issued on Aug 9, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Aug 9, 2015.