Individual provider · Type 1 NPI
Amy Lanoue
Mental Health Counselor · San Rafael, CA
NPI number
1609923960
Active
Practice location
914 Mission Ave
San Rafael, CA 94901-6106
Fax (415) 721-0281
Mailing address
309 Rio Del Mar
American Canyon, CA 94503-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1609923960
Amy Lanoue's National Provider Identifier is 1609923960, issued on Jan 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.