MS. LACEY JANAE WITHAM (NPI# 1982903001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982903001 |
| Entity Type | Individual |
| Full Name | MS. LACEY JANAE WITHAM |
| Credential | M.S. |
| Practice Address |
12530 10th St. #c Chino CA 91710 |
| Practice Telephone | 6265362664 |
| Mailing Telephone | 6265362664 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | #61195 | CA | Behavioral Health & Social Service Providers |
| Street Address |
12530 10TH ST. #C |
| City | CHINO |
| State | CA |
| Zip Code | 91710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992360416 | Sydney Beth Isley | Marriage & Family Therapist | 15338 Central Ave Unit 103, Chino, CA 91710-7658 | 2019-05-09 |
| 1922577097 | Adrienne Fino | Marriage & Family Therapist | 4091 Riverside Dr Ste 103, Chino, CA 91710-3195 | 2018-11-19 |
| 1699201459 | Denise Leann Lindsay | Marriage & Family Therapist | 8047 Spencer St, Chino, CA 91708-9350 | 2017-05-11 |
| 1184158982 | Karissa Lentz | Marriage & Family Therapist | 13116 14th St, Chino, CA 91710-4367 | 2017-04-18 |
| 1154777464 | Melissa Swain-nembhard | Marriage & Family Therapist | 7550 Desert Holly St, Apt 728, Chino, CA 91708-9380 | 2016-05-05 |
| 1124489687 | Catherine Joy | Marriage & Family Therapist | 3833 Schaefer Ave Ste K, Chino, CA 91710-5456 | 2016-03-11 |
| 1689096851 | Jane Meza | Marriage & Family Therapist | 11780 Central Ave Ste 205, Chino, CA 91710-6499 | 2014-01-07 |
| 1134492069 | Steven Eric Jackson | Marriage & Family Therapist | 12943 Cozzens Ave, Chino, CA 91710-3054 | 2012-02-23 |
| 1568746774 | Jessica Yvette Urbina | Marriage & Family Therapist | 8142 Garden Park St, Chino, CA 91708-9347 | 2011-10-06 |
| 1447560347 | Yaser Selim | Marriage & Family Therapist | 11780 Central Ave., Suite 100, Chino, CA 91710-6499 | 2010-10-14 |
| Find all providers in CHINO | ||||
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| 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.