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Organization
LOMI SCHOOL FOUNDATION
Active
Organization
LOMI SCHOOL FOUNDATION
Active
Other names
LOMI PSYCHOTHERAPY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON D. SWEENEY (ADMINISTRATIVE DIRECTOR)
(707) 579-0465
Entity
Organization
Contact information
Practice address
320 10TH ST STE 200, SANTA ROSA, CA 95401-5291
(707) 579-0465
(707) 579-0560
Mailing address
320 10TH ST STE 200, SANTA ROSA, CA 95401-5291
(707) 579-0465
(707) 579-0560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
306494090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-31568
UNITED HEALTHCARE SERVICE
CA
Enumeration date
07/25/2006
Last updated
01/12/2023
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