Individual
AMITESHNI LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3123 INDEPENDENCE DR, LIVERMORE, CA 94551-7595
(925) 999-4119
Mailing address
815 CARRIE ST, STOCKTON, CA 95206-5428
(510) 314-9008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
01/27/2023
Last updated
09/22/2025
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