Healthcare Provider Details

I. General information

NPI: 1316862709
Provider Name (Legal Business Name): DEBRA LEIGH GEISLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CROW CANYON PL STE 140
SAN RAMON CA
94583-1339
US

IV. Provider business mailing address

135 WAVERLY CT
MARTINEZ CA
94553-6264
US

V. Phone/Fax

Practice location:
  • Phone: 925-309-5216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC21240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: