Provider Demographics
NPI:1003014382
Name:TONKIN, LORI JO (CAS)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:JO
Last Name:TONKIN
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4335 NAPIER ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-3447
Mailing Address - Country:US
Mailing Address - Phone:760-721-6748
Mailing Address - Fax:
Practice Address - Street 1:4010 VIA SERRA
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-6445
Practice Address - Country:US
Practice Address - Phone:760-757-7166
Practice Address - Fax:760-433-5001
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor