STEPHANIE ROTH LUCCHESI


Address: 3125 Dwight Rd, Suite 200, Elk Grove, CA 95758
Phone: 9166912200

STEPHANIE ROTH LUCCHESI (NPI# 1720127293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720127293
Entity Type Individual
Full Name STEPHANIE ROTH LUCCHESI
Other Name STEPHANIE LOUISE ROTH
Credential M.S. COUNSELING, MFT
Practice Address 3125 Dwight Rd
Suite 200
Elk Grove
CA 95758
Mailing Address 4232 Brookhill Dr
Fair Oaks
CA 95628-6923
Practice Telephone 9166912200
Practice Fax Number 9169677304
Mailing Telephone 9162071067
Mailing Fax Number 9169677304
Enumeration Date 2007-02-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YS0200X Counselor
Specialization: School
CA Behavioral Health & Social Service Providers
X 106H00000X Marriage & Family Therapist MFC 30942 CA Behavioral Health & Social Service Providers

Office Location

Street Address 3125 DWIGHT RD
SUITE 200
City ELK GROVE
State CA
Zip Code 95758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083724462 Joshua Hillel Singer Marriage & Family Therapist 3125 Dwight Rd, Suite 200, Elk Grove, CA 95758-6477 2006-08-30
1508119934 Wendy Mccray Psychologist 3125 Dwight Rd, Suite 200, Elk Grove, CA 95758-6477 2012-10-23
1760568521 Rose Gee Marriage & Family Therapist 3125 Dwight Rd, Suite # 200, Elk Grove, CA 95758-6239 2006-10-27

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1922557362 Muhanad Aliakbar Driver 8275 Oakbriar Cir, Elk Grove, CA 95758 2016-09-27
1063868123 Teresa Vinciguerra Marriage & Family Therapist 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 2016-05-09
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1548748064 Jessica H Yang Counselor 4931 Caspar St, Union City, CA 94587-5533 2018-08-06
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Competitor

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City ELK GROVE
Zip Code 95758

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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