Provider Information for 1043798317
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LYNETTE ALARCON LMFT
Sex: Female
NPI: 1043798317
Last Updated: 2023-12-27
Certification Date: 2023-01-11
Certification Date: 2023-01-11
Details
Name | Value | ||||||||||||
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NPI | 1043798317 | ||||||||||||
Enumeration Date | 2018-07-30 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 47825 OASIS ST INDIO, CA 92201-6950 United States Phone: | Fax: | ||||||||||||
Primary Practice Address | 47825 OASIS ST INDIO, CA 92201-6950 United States Phone: 760-863-8455 | Fax: | ||||||||||||
Secondary Practice Address(es) | 40300 WASHINGTON ST | ||||||||||||
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