Healthcare Provider Details

I. General information

NPI: 1538095799
Provider Name (Legal Business Name): TSZ KI LAM LPCC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE LAM

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 N SAN ANTONIO RD STE O
LOS ALTOS CA
94022-1341
US

IV. Provider business mailing address

PO BOX 1414
CLAREMONT CA
91711-8414
US

V. Phone/Fax

Practice location:
  • Phone: 650-434-2563
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC22303
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: