Individual provider · Type 1 NPI

Leroy Otto Egenberger, MA

Mental Health Counselor · Modesto, CA

NPI number 1922082726 Active

Practice location

1101 Standiford Ave, Suite B-2
Modesto, CA 95350-0982

Call (209) 522-5035 Map

Fax (209) 522-5134

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC21358 (CA)
Marriage & Family Therapist 106H00000XMFC21358 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1922082726

Leroy Otto Egenberger, MA's National Provider Identifier is 1922082726, issued on Dec 5, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Modesto, CA. The record was last updated on Nov 18, 2010.