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NPI Code Detail

MEDICARE: LISA K. SLOAN LMFT

MEDICARE: LISA K. SLOAN 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 TherapistLMFT100507CA

General Provider Information

NPI Number : 1467725390
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA K. SLOAN LMFT
Provider Business Mailing Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Provider Business Practice Location Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 925-282-1778
Fax Number : 415-296-5299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 04/07/2025

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