Individual provider · Type 1 NPI

Mary Lou Floyd

Mental Health Counselor · Lakeport, CA

NPI number 1922304526 Active

Practice location

991 Parallel Dr
Lakeport, CA 95453-5720

Mailing address

8250 Reclamation Rd
Upper Lake, CA 95485-8709

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922304526

Mary Lou Floyd's National Provider Identifier is 1922304526, issued on Jan 31, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeport, CA. The record was last updated on Jan 31, 2011.