Individual provider · Type 1 NPI

Yelena Zaitseva Lavender, LCSW74244

Mental Health Counselor · Crescent City, CA

NPI number 1447638044 Active

Practice location

455 K Street
Crescent City, CA 95531

Call (707) 951-4317 Map

Mailing address

455 K St
Crescent City, CA 95531-4107

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447638044

Yelena Zaitseva Lavender, LCSW74244's National Provider Identifier is 1447638044, issued on May 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crescent City, CA. The record was last updated on Dec 16, 2016.