| Lien Lac Lmft | |
|
915 Highland Pointe Dr Ste 250 Roseville CA 95678-5421 | |
| (510) 599-8139 | |
| Not Available |
| Full Name | Lien Lac Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 915 Highland Pointe Dr Ste 250, Roseville, California |
| Authorized Official Name and Position | Lien K Lac (PRESIDENT) |
| Authorized Official Contact | 9162704199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lien Lac Lmft 428 Vernon St Roseville CA 95678-2637 Ph: (916) 270-4199 | Lien Lac Lmft 915 Highland Pointe Dr Ste 250 Roseville CA 95678-5421 Ph: (510) 599-8139 |
| NPI Number | 1104461920 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104461920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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