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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFE SOURCE, INC.

Active Organization

LIFE SOURCE, INC. is a Mental Health Counselor organization located in ROSEVILLE, California. NPI 1619098332 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · ROSEVILLE, CA

Registration Details

NPI Number
1619098332
Provider Type
Organization
NPI Issued
Apr 2, 2007 (19.375694883795 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
2530 DOUGLAS BLVD
SUITE 160
ROSEVILLE, CA, 956613989
Browse CA providers · Browse ZIP 95661
Phone
9167840110
Primary Specialty
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.