Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES... A BEACON OF LIGHT
Active
Organization
LIGHTHOUSE PSYCHOLOGICAL SERVICES... A BEACON OF LIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHONTINESE HUEY PSY.D (DIRECTOR)
(209) 451-9475
Entity
Organization
Contact information
Practice address
2291 W MARCH LN STE E-101, STOCKTON, CA 95207-6652
(209) 451-9475
(209) 451-9475
Mailing address
PO BOX 556, SALIDA, CA 95368-0556
(209) 451-9475
(209) 451-9475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
21817
CA
Other
Enumeration date
12/05/2016
Last updated
07/22/2019
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