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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

Details

NameValue
NPI1043798317
Enumeration Date2018-07-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
BERMUDA DUNES, CA 92203-9522
United States

Phone: 760-702-8976 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthCA
Yes 106H00000X - Marriage & Family Therapist CALMFT136831