Individual
CHRIS LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1128 J ST, DAVIS, CA 95616-2130
(530) 601-9587
Mailing address
1128 J ST, DAVIS, CA 95616-2130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
428
CA
101YP2500X
Professional Counselor
Primary
428
CA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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