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986 Moraga Rd Lafayette CA 94549-4423 | |
| (925) 954-6229 | |
| (925) 269-8052 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 986 Moraga Rd, Lafayette, California |
| Authorized Official Name and Position | Grace Malonai (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 9259546229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
986 Moraga Rd Lafayette CA 94549-4423 Ph: (925) 954-6229 | 986 Moraga Rd Lafayette CA 94549-4423 Ph: (925) 954-6229 |
| NPI Number | 1760993562 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 11/25/2022 |
| Certification Date | 11/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760993562 | NPI | - | NPPES |
| LPCC252 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| 1598894123 | Other | NPPES |
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