Provider Information for 1376675116
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Mr. ADAM MARLO LEE LMFT
Sex: Male
NPI: 1376675116
Last Updated: 2021-02-12
Certification Date: 2021-02-12
Certification Date: 2021-02-12
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1376675116 | ||||||||
| Enumeration Date | 2007-03-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1000 BAKERSFIELD, CA 93302-1000 United States Phone: 661-868-6601 | Fax:661-868-6666 | ||||||||
| Primary Practice Address | 2621 OSWELL ST SUITE #119 BAKERSFIELD, CA 93306-3172 United States Phone: 661-868-6767 | Fax:661-872-3001 | ||||||||
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