Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003043811 |
---|---|
Provider Name | Melissa Lienhard |
First Address | Concord, CA 94519-1358 |
Second Address | Concord, CA 94518-3289 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 18/06/2009 |