Individual provider · Type 1 NPI

Lexis Momon

Mental Health Counselor · San Mateo, CA

NPI number 1750866315 Active

Practice location

424 Peninsula Ave
San Mateo, CA 94401-1653

Mailing address

407 40th Ave
San Francisco, CA 94121-1509

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Professional Counselor 101YP2500X9004 (CA)
Mental Health Counselor Primary 101YM0800XAPCC9004 (CA)

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About NPI 1750866315

Lexis Momon's National Provider Identifier is 1750866315, issued on Sep 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Mar 13, 2024.