person
Brian Douglas Leidal, MALPCCMHC
Mental Health Counselor in Ann Arbor, Michigan
NPI 1154083897

Brian Douglas Leidal is a Mental Health Counselor based in Bristol, MI and is specialized in Mental Health. Brian Douglas Leidal practices in Ann Arbor, MI and has the professional credentials of MALPCCMHC. The NPI Number for Brian Douglas Leidal is 1154083897 and holds a License No. MHC01319 (Michigan).

The current practice location address for Brian Douglas Leidal is 405 Little Lake Dr Ste A, Ann Arbor, MI and can be reached out via phone at 734-719-0380.

Location: 405 Little Lake Dr Ste A, Ann Arbor, MI, 02809-3169
person
Provider Profile Details
NPI Number
1154083897
Provider Name
Brian Douglas Leidal
Credential
MALPCCMHC
Provider Entity Type
Individual
Gender
Male
Address
405 Little Lake Dr Ste A, Ann Arbor, MI, 02809-3169
Phone Number
734-719-0380
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 Little Lake Dr Ste A
City
State
Zip
48103-6220
Phone Number
734-719-0380
Fax Number
person
Provider Business Mailing Address Details
Address
405 Little Lake Dr Ste A
City
State
Zip
48103-6220
Phone Number
734-719-0380
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10460707-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MHC01319 (Rhode Island)
Definition
Definition to come...
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