Individual provider · Type 1 NPI

Lanita Lanette Mims

Mental Health Counselor · San Leandro, CA

NPI number 1447464680 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Mailing address

6309 Outlook Ave
Oakland, CA 94605-1823

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1447464680

Lanita Lanette Mims's National Provider Identifier is 1447464680, issued on May 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Jul 8, 2007.