HERTHAO LY

SACRAMENTO, CA
NPI1912375676
Other NameKIRBY LY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  104920)
Additional Taxonomies251B00000X Case Management
171M00000X Case Manager/Care Coordinator
Enumeration Date2015-09-10
Last Update Date2026-09-11
Business Address
HERTHAO LY LCSW
7300 WYNDHAM DR FL 2
SACRAMENTO, CA 95823-4913
Phone number: 916-525-6207
Mailing Address
HERTHAO LY LCSW
PO BOX 254864
SACRAMENTO, CA 95865-4864
Phone number: 916-320-0875