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Provider Information for 1073083820


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Mr. DANIEL LEONE LMFT


Sex: Male

NPI: 1073083820
Last Updated: 2024-07-01
Certification Date: 2024-07-01

Details

NameValue
NPI1073083820
Enumeration Date2018-12-04
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 13841 TUSTIN EAST DR APT 16
TUSTIN, CA 92780-5367
United States

Phone: 949-910-2089 | Fax:
 
Primary Practice Address 13841 TUSTIN EAST DR
TUSTIN, CA 92780-5328
United States

Phone: 714-656-4695 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDCA19283701
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
Yes 101YM0800X - Counselor - Mental HealthCA139091