Lineage & Legacy
Lineage & Legacy is an Addiction (Substance Use Disorder) Counselor in East Palo Alto, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 4
Practice location Address checks out
2512 Farrington WayEast Palo Alto, CA 94303-1118
Phone: (408) 661-5795
Fax: (408) 608-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Professional Counselor | Taxonomy 101YP2500X |
| Health Educator | Taxonomy 174H00000X |
Record details
| NPI number | 1295410967 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Helping Others Maintain Earth, Inc |
| Authorized official | Tamara Smith-Jones — Confidante · (408) 661-5795 |
| NPI enumerated | June 20, 2023 |
| Last updated in NPPES | June 20, 2023 |
| Certification date | June 20, 2023 |
| Mailing address | Po Box 51298, Palo Alto, CA 94303-0697 |
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MS. Toni Louise Jackson
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Samuel Craig Kankel, RADT1
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Mireya Del Rocio Mata
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Christopher Morales
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Joaquin Enrique Moreno Lopez Jr., CADTCERTIFIED
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Daniel Mottin
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