Individual
LORI JEAN ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BECK AVE # MS 5-250, FAIRFIELD, CA 94533-6804
(707) 784-8409
Mailing address
275 BECK AVE # MS 5-250, FAIRFIELD, CA 94533-6804
(707) 784-8409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5909
CA
101YP2500X
Professional Counselor
Primary
15819
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/03/2018
Last updated
08/12/2024
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