# LIEN LAC LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104461920
- **Authorized official:** LIEN K LAC (PRESIDENT)
- **Authorized official phone:** (916) 270-4199

## Contact information

- **Practice address:** 915 HIGHLAND POINTE DR STE 250, ROSEVILLE, CA 95678-5421
- **Practice address phone:** (510) 599-8139
- **Mailing address:** 428 VERNON ST, ROSEVILLE, CA 95678-2637
- **Mailing address phone:** (916) 270-4199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2019
- **Last updated:** 08/13/2024
