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Mrs. Yelena Zaitseva Lavender, LCSW74244
Mental Health Counselor in Crescent City, California
NPI 1447638044

Yelena Zaitseva Lavender is a Mental Health Counselor based in Crescent City, CA and is specialized in Mental Health. Yelena Zaitseva Lavender practices in Crescent City, CA and has the professional credentials of LCSW74244. The NPI Number for Yelena Zaitseva Lavender is 1447638044 and holds a License No. (California).

The current practice location address for Yelena Zaitseva Lavender is 455 K Street, Crescent City, CA and can be reached out via phone at 707-951-4317.

Location: 455 K Street, Crescent City, CA, 95531-4107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447638044
Provider Name
Yelena Zaitseva Lavender
Credential
LCSW74244
Provider Entity Type
Individual
Gender
Female
Address
455 K Street, Crescent City, CA, 95531-4107
Phone Number
707-951-4317
Fax Number
Provider Enumeration Date
05/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 05 CA
institution
Provider Business Practice Location Address Details
Address
455 K Street
City
Crescent City
State
California
Zip
95531
Phone Number
707-951-4317
Fax Number
person
Provider Business Mailing Address Details
Address
455 K Street
City
Crescent City
State
California
Zip
95531
Phone Number
707-951-4317
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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