Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 31233 | CA |
NPI | 1114328036 |
---|---|
Provider Name | Dr. Zoe Lantelme |
First Address | San Francisco, CA 94110-3551 |
Second Address | San Francisco, CA 94102-5147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2014 |
Last Update Date | 06/01/2020 |