MR. LEROY EGENBERGER, MA

Counselor - Mental Health

Active Individual
NPI: 1922082726

Practice Address

1101 STANDIFORD AVE
SUITE B-2
Modesto, CA 95350

Phone: (209) 522-5035

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes MFC21358 (CA)
Marriage & Family Therapist 106H00000X No MFC21358 (CA)

Frequently Asked Questions

NPI 1922082726 is the National Provider Identifier for MR. LEROY EGENBERGER, MA, a Counselor - Mental Health provider located in Modesto, CA. This NPI was enumerated on December 5, 2005.
MR. LEROY EGENBERGER, MA practices at 1101 STANDIFORD AVE, SUITE B-2, Modesto, CA 95350.

Quick Facts

NPI
1922082726
Type
Individual
Enumerated
Dec 5, 2005
Last Updated
Nov 18, 2010