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Individual

CAROLEE MARGARET LENAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
329 PRIMROSE RD, SUITE 210, BURLINGAME, CA 94010-4037
(650) 579-4993
(650) 340-9093
Mailing address
329 PRIMROSE RD, SUITE 210, BURLINGAME, CA 94010-4037
(650) 579-4993
(650) 340-9093

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC16415
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ87824Z
BLUE SHIELD
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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