| Lineage & Legacy | |
|
2512 Farrington Way East Palo Alto CA 94303-1118 | |
| (408) 661-5795 | |
| (408) 608-3347 |
| Full Name | Lineage & Legacy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2512 Farrington Way, East Palo Alto, California |
| Authorized Official Name and Position | Tamara Smith-jones (CONFIDANTE) |
| Authorized Official Contact | 4086615795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lineage & Legacy Po Box 51298 Palo Alto CA 94303-0697 Ph: (408) 661-5795 | Lineage & Legacy 2512 Farrington Way East Palo Alto CA 94303-1118 Ph: (408) 661-5795 |
| NPI Number | 1295410967 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295410967 | NPI | - | NPPES |
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