Individual
MS. STACIE KIMBERLY LONAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1889 LAWRENCE RD, SANTA CLARA, CA 95051-2166
(408) 423-2000
Mailing address
334 SANTANA ROW APT 232, SAN JOSE, CA 95128-2019
(408) 500-5946
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC18274
CA
106H00000X
Marriage & Family Therapist
AMFT123808
CA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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