Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
IETI LEAEA
Active
Individual
IETI LEAEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A09310315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A09310315
CCAPP
CA
Enumeration date
08/05/2016
Last updated
08/05/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up