| Diamantina Lock Lmft | |
|
106 Pollasky Ave Ste C Clovis CA 93612-1159 | |
| (559) 346-7127 | |
| Not Available |
| Full Name | Diamantina Lock Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 106 Pollasky Ave Ste C, Clovis, California |
| Authorized Official Name and Position | Diamantina Lock (LMFT) |
| Authorized Official Contact | 5593467127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamantina Lock Lmft Po Box 2427 Clovis CA 93613-2427 Ph: (559) 346-7127 | Diamantina Lock Lmft 106 Pollasky Ave Ste C Clovis CA 93612-1159 Ph: (559) 346-7127 |
| NPI Number | 1710507694 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710507694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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