Lifeworks Of Sonoma County

NPI 1033329487 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1033329487
Enumeration Date 05/23/2007
Last Updated 08/12/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JILL W. JILL
Position EXECUTIVE DIRECTOR
Phone (707) 792-6506
Fax (707) 792-4758
Practice Location
5450 SNYDER LANE
ROHNERT PARK CA, 94928-2906, US
Phone (707) 792-6506
Fax (707) 792-4758
Business Location
1200 COLLEGE AVENUE
SANTA ROSA CA, 95404-3908, US
Phone (707) 568-2300
Fax (707) 568-2304
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number PSY 13055
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According to our database, Lifeworks Of Sonoma County NPI is 1033329487, taxonomy code is 251S00000X and license number is PSY 13055, license state is located at California. Lifeworks Of Sonoma County physically located at 5450 Snyder Lane, Rohnert Park CA, 94928-2906. NPI Number 1033115704 has the healthcare provider type.

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1033329487 NPI number is provided on an as is basis without warranty of any kind. 1033329487 is maintained by the National Plan & Provider Enumeration System. The contents of Lifeworks Of Sonoma County are for informational purposes only.