| Lighthouse Psychological Services... A Beacon Of Light | |
|
2291 W March Ln Ste E-101 Stockton CA 95207-6652 | |
| (209) 451-9475 | |
| (209) 451-9475 |
| Full Name | Lighthouse Psychological Services... A Beacon Of Light |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2291 W March Ln Ste E-101, Stockton, California |
| Authorized Official Name and Position | Shontinese Huey (DIRECTOR) |
| Authorized Official Contact | 2094519475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Psychological Services... A Beacon Of Light Po Box 556 Salida CA 95368-0556 Ph: (209) 451-9475 | Lighthouse Psychological Services... A Beacon Of Light 2291 W March Ln Ste E-101 Stockton CA 95207-6652 Ph: (209) 451-9475 |
| NPI Number | 1518401900 |
|---|---|
| Provider Enumeration Date | 12/05/2016 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518401900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 21817 (California) | Primary |
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