Individual
ALEX CHENGCHEE LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7707 AUSTIN RD, STOCKTON, CA 95215-8312
(916) 467-5434
Mailing address
244 OLMSTEAD DR, SACRAMENTO, CA 95838-4742
(916) 239-8283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24764
CA
1041C0700X
Clinical Social Worker
Primary
102010
CA
Other
Enumeration date
07/08/2009
Last updated
04/25/2022
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