Healthcare Provider Details
I. General information
NPI: 1285468199
Provider Name (Legal Business Name): DLB CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/02/2024
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
217 PIEDMONT LN # CA
PITTSBURG CA
94565-5044
US
IV. Provider business mailing address
2108 N ST STE N
SACRAMENTO CA
95816-5712
US
V. Phone/Fax
- Phone: 925-378-5295
- Fax:
- Phone: 925-378-5295
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEVON
RANKIN
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 925-488-7211