Provider Demographics
NPI:1235146796
Name:OLIVEIRA, LYNNE K (LMFT)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:K
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 E. HASTINGS AVE.
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2277
Mailing Address - Country:US
Mailing Address - Phone:714-921-8436
Mailing Address - Fax:714-921-3976
Practice Address - Street 1:4704 E. HASTINGS AVE.
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-2277
Practice Address - Country:US
Practice Address - Phone:714-287-9951
Practice Address - Fax:714-637-3394
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT33211106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist