| Lifeworks Of Sonoma County | |
|
1260 N Dutton Ave Ste 220 Santa Rosa CA 95401-4686 | |
| (707) 568-2300 | |
| (707) 568-2304 |
| Full Name | Lifeworks Of Sonoma County |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1260 N Dutton Ave Ste 220, Santa Rosa, California |
| Authorized Official Name and Position | Michelle Fountain (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7075682300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Of Sonoma County 1260 N Dutton Ave Ste 220 Santa Rosa CA 95401-4686 Ph: (707) 568-2300 | Lifeworks Of Sonoma County 1260 N Dutton Ave Ste 220 Santa Rosa CA 95401-4686 Ph: (707) 568-2300 |
| NPI Number | 1063557171 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063557171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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