| Life Source, Inc. | |
|
2530 Douglas Blvd Suite 160 Roseville CA 95661-3989 | |
| (916) 784-0110 | |
| Not Available |
| Full Name | Life Source, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2530 Douglas Blvd, Roseville, California |
| Authorized Official Name and Position | Orville E Easterly (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9167840110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Source, Inc. 2530 Douglas Blvd Suite 160 Roseville CA 95661-3989 Ph: (916) 784-0110 | Life Source, Inc. 2530 Douglas Blvd Suite 160 Roseville CA 95661-3989 Ph: (916) 784-0110 |
| NPI Number | 1619098332 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619098332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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