Provider Demographics
NPI:1902837008
Name:ONSUM, LOIS
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:ONSUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 E COMMERCENTER DR. #255
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1659
Mailing Address - Country:US
Mailing Address - Phone:661-322-7670
Mailing Address - Fax:661-631-0390
Practice Address - Street 1:5001 E COMMERCENTER DR. SUITE255
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1659
Practice Address - Country:US
Practice Address - Phone:661-322-7670
Practice Address - Fax:661-631-0390
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC20278101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health