Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | CA |
NPI | 1003219965 |
---|---|
Provider Name | Laneesha Lowe |
First Address | Sacramento, CA 95823-2006 |
Second Address | Sacramento, CA 95823-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2014 |
Last Update Date | 06/10/2014 |