Provider Demographics
NPI:1154709988
Name:LALONDE, JOHNNY (LPCC)
Entity type:Individual
Prefix:MR
First Name:JOHNNY
Middle Name:
Last Name:LALONDE
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 10TH AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4648
Mailing Address - Country:US
Mailing Address - Phone:407-921-6465
Mailing Address - Fax:
Practice Address - Street 1:1388 SUTTER ST STE 412
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5400
Practice Address - Country:US
Practice Address - Phone:407-921-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10287101YP2500X
CALPCC 321101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional