MEDICARE: LAKEETA BEHN-VASQUEZ LMFT

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
1	106H00000X	Marriage & Family Therapist	161347	CA

General Provider Information

NPI Number	:	1588132286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKEETA BEHN-VASQUEZ LMFT

Provider Business Mailing Address
First Line	:	822 HARTZ WAY STE 215
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-3420
Country	:	US
Telephone Number	:	424-302-8227
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 HARTZ WAY
Second Line	:
City	:	DANVILLE
State	:	CA
Zip	:	94526-3433
Country	:	US
Telephone Number	:	424-302-8227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2018
Last Update Date	:	02/11/2026

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