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NPI Code Detail

MEDICARE: ALICIA CELESTE LEMIRE MFT

MEDICARE: ALICIA CELESTE LEMIRE MFT
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 TherapistCA

General Provider Information

NPI Number : 1982898839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CELESTE LEMIRE MFT
Provider Business Mailing Address
First Line : 23461 S POINTE DR STE 220
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1523
Country : US
Telephone Number : 949-330-1677
Fax Number : 949-951-2871
Provider Business Practice Location Address
First Line : 23461 S POINTE DR STE 220
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-1523
Country : US
Telephone Number : 949-330-1677
Fax Number : 949-951-2871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2007
Last Update Date : 09/04/2007

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Directions to “ ALICIA CELESTE LEMIRE MFT” Practice Location

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