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Organization
FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Active
Organization
FENWOOD LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY BUCK-MOYER LPCC (OWNER/CEO)
(916) 251-9474
Entity
Organization
Contact information
Practice address
5800 STANFORD RANCH RD STE 610, ROCKLIN, CA 95765-4387
(916) 251-9474
Mailing address
8690 SIERRA COLLEGE BLVD STE 160-140, ROSEVILLE, CA 95661-5961
(916) 251-9474
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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