Healthcare Provider Details

I. General information

NPI: 1093645699
Provider Name (Legal Business Name): DANIEL LESNY LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2782 GOULARTE DR
PINOLE CA
94564-2905
US

IV. Provider business mailing address

2782 GOULARTE DR
PINOLE CA
94564-2905
US

V. Phone/Fax

Practice location:
  • Phone: 510-527-2100
  • Fax:
Mailing address:
  • Phone: 510-527-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number18992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: