Healthcare Provider Details

I. General information

NPI: 1144307604
Provider Name (Legal Business Name): UNKNOWN HU LMFT, LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 601181
SACRAMENTO CA
95860-1181
US

IV. Provider business mailing address

PO BOX 601181
SACRAMENTO CA
95860-1181
US

V. Phone/Fax

Practice location:
  • Phone: 916-978-9371
  • Fax:
Mailing address:
  • Phone: 916-978-9371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC1341
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT29376
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: