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NPI Code Detail

MEDICARE: MS. LINDA INEZ LOVEJOY LMFT

MEDICARE: MS. LINDA INEZ LOVEJOY LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist44057CA
2106H00000XMarriage & Family TherapistLMFT44057CA

General Provider Information

NPI Number : 1275734139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA INEZ LOVEJOY LMFT
Provider Business Mailing Address
First Line : 1622 4TH STREET
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4020
Country : US
Telephone Number : 707-349-3141
Fax Number :
Provider Business Practice Location Address
First Line : 1622 4TH STREET
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4020
Country : US
Telephone Number : 707-919-3218
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 09/01/2023

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