DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LEROY OTTO EGENBERGER, MA

Active Sole Proprietor

MR. LEROY OTTO EGENBERGER, MA is a Mental Health Counselor healthcare provider located in MODESTO, California. NPI 1922082726 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · MODESTO, CA

Registration Details

NPI Number
1922082726
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2005 (20.652221121831 yrs)
Last Updated
Nov 18, 2010
Licenses
MFC21358 (CA)
MFC21358 (CA)
Sole Proprietor
Yes

Practice Information

Address
1101 STANDIFORD AVE
SUITE B-2
MODESTO, CA, 953500982
Browse CA providers · Browse ZIP 95350
Phone
2095225035
Fax
2095225134
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Marriage & Family Therapist

Other Mental Health Counselor Providers in MODESTO, CA

Name Credential NPI
MRS. MARIANNE PECK MFT 1487674636
MR. RICHARD ARRIOLA MARTINEZ LCSW 1487665923
DR. HIEP VOQUY MD 1558434902
MRS. VALORIE J DAVIS LMFT 1720156300
MS. CONNIE LYNN TIPTON 1366578650
RAMIRO PORRAS 1205968823
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.