Healthcare Provider Details

I. General information

NPI: 1508234956
Provider Name (Legal Business Name): JOHN MOK-LAMME LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 N 12TH ST
GRAND JUNCTION CO
81501-3343
US

IV. Provider business mailing address

655 N 12TH ST
GRAND JUNCTION CO
81501-3343
US

V. Phone/Fax

Practice location:
  • Phone: 970-462-7535
  • Fax:
Mailing address:
  • Phone: 970-462-7535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW.0009925293
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: