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NPI Code Detail

MEDICARE: CHUN MING YAN LPCC22202

MEDICARE: CHUN MING YAN LPCC22202
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPCC22202CA
2390200000XStudent in an Organized Health Care Education/Training Program
3101Y00000XCounselor
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1457071391
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHUN MING YAN LPCC22202
Provider Business Mailing Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number :
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1024
Country : US
Telephone Number : 916-452-3981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2022
Last Update Date : 03/27/2026

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Directions to “ CHUN MING YAN LPCC22202” Practice Location

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