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NPI 1184033508

NPI 1184033508 : LORI BELHUMEUR, LCSW : LAFAYETTE, CA

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General NPI Number Information
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    NPI Number           |    1184033508
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    Entity Type          |    Organization 
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    Legal Business Name  |    LORI BELHUMEUR, LCSW 
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Dates
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    Enumeration Date     |    08/11/2014
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    Last Update Date     |    08/11/2014
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Provider Practice Location Address
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    Address Line         |    409 READ DR 
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    City                 |    LAFAYETTE
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    State                |    CA
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    Zip                  |    94549-5616
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    Country              |    US
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    Telephone            |    925-385-0530
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    409 READ DR 
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    City                 |    LAFAYETTE
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    State                |    CA
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    Zip                  |    94549-5616
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    Country              |    US
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    Telephone            |    925-385-0530
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LCSW
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    Name                 |     LORI  BELHUMEUR 
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    Credential           |    
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    Telephone            |    925-385-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LCS20245
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    License Number State |    CA
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