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Mr. Leroy Otto Egenberger, MA
Marriage & Family Therapist in Modesto, California
NPI 1922082726

Leroy Otto Egenberger is a Marriage & Family Therapist based in Modesto, CA. Leroy Otto Egenberger practices in Modesto, CA and has the professional credentials of MA. The NPI Number for Leroy Otto Egenberger is 1922082726 and holds a License No. MFC21358 (California).

The current practice location address for Leroy Otto Egenberger is 1101 Standiford Ave, Modesto, CA and can be reached out via phone at 209-522-5035 and via fax at 209-522-5134. You can also correspond with Leroy Otto Egenberger through the mailing address at 1101 STANDIFORD AVE, MODESTO, CA - 95350-0982 (mailing address contact number: 209-522-5035).

Location: 1101 Standiford Ave, Modesto, CA, 95350-0982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922082726
Provider Name
Leroy Otto Egenberger
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1101 Standiford Ave, Modesto, CA, 95350-0982
Phone Number
209-522-5035
Fax Number
209-522-5134
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922082726 01 CA STANISLAUS COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
institution
Provider Business Practice Location Address Details
Address
1101 Standiford Ave
City
Modesto
State
California
Zip
95350-0982
Phone Number
209-522-5035
Fax Number
209-522-5134
person
Provider Business Mailing Address Details
Address
1101 Standiford Ave
City
Modesto
State
California
Zip
95350-0982
Phone Number
209-522-5035
Fax Number
209-522-5134
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFC21358 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
MFC21358 (California)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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