Provider Demographics
NPI:1659490936
Name:LAFRANCE, LINDA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:LAFRANCE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:MEAD-LAFRANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:1543 W AVENUE H11
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-1363
Mailing Address - Country:US
Mailing Address - Phone:661-919-0131
Mailing Address - Fax:661-729-8912
Practice Address - Street 1:921 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3443
Practice Address - Country:US
Practice Address - Phone:661-919-0131
Practice Address - Fax:661-729-8912
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41161106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR00007473Medicaid
CACBSC9001OtherLA DMH PROVIDER