Individual provider · Type 1 NPI

Jon Michael Lazaleta Duey

Psychiatric/Mental Health Nurse Practitioner · Berkeley, CA

NPI number 1881858868 Active

Practice location

2105 Martin Luther King Jr Way Fl 1
Berkeley, CA 94704-1108

Fax (510) 756-0812

Other practice locations

  • 595 Buckingham Way Ste 343, San Francisco, CA 94132-1911 · (888) 588-8995

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Registered Nurse 163W00000X658352-1 (NY)
Registered Nurse 163W00000X95035248 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95001898 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1881858868

Jon Michael Lazaleta Duey's National Provider Identifier is 1881858868, issued on Jul 18, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Berkeley, CA. The record was last updated on Apr 17, 2025.