Organization · Type 2 NPI

Life Source, Inc.

Mental Health Counselor · Roseville, CA

NPI number 1619098332 Active

Practice location

2530 Douglas Blvd, Suite 160
Roseville, CA 95661-3989

Call (916) 784-0110 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1619098332

Life Source, Inc.'s National Provider Identifier is 1619098332, issued on Apr 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseville, CA. The record was last updated on Aug 22, 2020.