Individual
DANIELA DEBERGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 924-0548
Mailing address
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577-4962
(510) 924-0548
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
APCC11246
CA
101YP2500X
Professional Counselor
Primary
LPCC22122
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/20/2019
Last updated
03/09/2026
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