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JOHN ADRIAN LIEDECKE
NPI 1952829814
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since August 31, 2017
20 N SAN PEDRO RD STE 2021, SAN RAFAEL, CA 94903(936) 661-2198 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Adrian Liedecke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ADRIAN LIEDECKE (NPI 1952829814) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1952829814
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN ADRIAN LIEDECKE
Location Address20 N SAN PEDRO RD STE 2021San Rafael, CA 94903-4158
Mailing Address101 Bayview St Apt ASan Rafael, CA 94901-4914 · (936) 661-2198
Phone(936) 661-2198
Sole ProprietorYes
Enumeration DateAugust 31, 2017
✔ NPI 1952829814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 N SAN PEDRO RD STE 2021, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE FRASER GURGANUS MFT
Counselor (Mental Health)
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (415) 499-6769
ALENA GITTENS MS
Student in an Organized Health Care Education/Training Program
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (415) 473-6769
LUCY MUTHONI NDUNGU
Student in an Organized Health Care Education/Training Program
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (510) 619-4525
COUNTY OF MARIN COMMUNITY MENTAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (415) 499-6769
DR. CAITRIONA TILDEN PH.D.
Psychologist (Clinical)
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (415) 473-6769
GINA ASBO
Student in an Organized Health Care Education/Training Program
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (415) 473-3696
ALINE LITMANOWICZ
Counselor (Mental Health)
20 N SAN PEDRO RD STE 2021
SAN RAFAEL, CA 94903
Marin County (707) 836-3714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Liedecke's NPI number?

The NPI number for John Liedecke is 1952829814. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is John Liedecke located?

John Liedecke practices at 20 N San Pedro Rd Ste 2021, San Rafael, CA 94903. The listed phone number is (936) 661-2198.

What is John Liedecke's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Liedecke was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.