Individual
LANCE THOMAS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, PPS
Contact information
Practice address
4357 THORNTON AVE, FREMONT, CA 94536-4827
(510) 793-9090
Mailing address
41262 ROBERTS AVE APT 73, FREMONT, CA 94538-4929
(510) 579-2630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TS0200X
School Psychologist
Primary
210070182
CA
Other
Enumeration date
12/23/2010
Last updated
11/21/2024
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