Individual provider · Type 1 NPI
Daniela Debergue
Professional Counselor · San Leandro, CA
NPI number
1760033823
Active
Practice location
400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Counselor | 101YM0800X | APCC11246 (CA) |
| Counselor | 101Y00000X | None listed |
| Professional Counselor Primary | 101YP2500X | LPCC22122 (CA) |
Professional Counselor: Definition to come...
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About NPI 1760033823
Daniela Debergue's National Provider Identifier is 1760033823, issued on Sep 20, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Leandro, CA. The record was last updated on Mar 9, 2026.