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Life Source, Inc.
Mental Health Counselor in Roseville, California
NPI 1619098332

Life Source, Inc. is a Mental Health Counselor based in Roseville, CA and is specialized in Mental Health. Life Source, Inc. practices in Roseville, CA. The NPI Number for Life Source, Inc. is 1619098332 and holds a License No. (California).

The current practice location address for Life Source, Inc. is 2530 Douglas Blvd, Roseville, CA and can be reached out via phone at 916-784-0110.

Location: 2530 Douglas Blvd, Roseville, CA, 95661-3989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619098332
Provider Name
Life Source, Inc.
Credential
Provider Entity Type
Organization
Address
2530 Douglas Blvd, Roseville, CA, 95661-3989
Phone Number
916-784-0110
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2530 Douglas Blvd
City
Roseville
State
California
Zip
95661-3989
Phone Number
916-784-0110
Fax Number
person
Provider Business Mailing Address Details
Address
2530 Douglas Blvd
City
Roseville
State
California
Zip
95661-3989
Phone Number
916-784-0110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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