Individual provider · Type 1 NPI

Leslie Vandyke

Mental Health Counselor · San Rafael, CA

NPI number 1730469701 Active

Practice location

555 Northgate Dr, Family Service Agency Of Marin
San Rafael, CA 94903-3680

Call (415) 491-5700 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730469701

Leslie Vandyke's National Provider Identifier is 1730469701, issued on Aug 23, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Aug 23, 2011.