Provider Demographics
NPI:1679914428
Name:DREYFUSS, LANA ANN (LPCC LCADC LPC HTR)
Entity type:Individual
Prefix:MS
First Name:LANA
Middle Name:ANN
Last Name:DREYFUSS
Suffix:
Gender:F
Credentials:LPCC LCADC LPC HTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 WEEOT WAY
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-4734
Mailing Address - Country:US
Mailing Address - Phone:707-825-5000
Mailing Address - Fax:707-825-6747
Practice Address - Street 1:501 N INDIAN RD
Practice Address - Street 2:
Practice Address - City:SMITH RIVER
Practice Address - State:CA
Practice Address - Zip Code:95567-9509
Practice Address - Country:US
Practice Address - Phone:707-487-0215
Practice Address - Fax:707-487-3003
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA1586103TC1900X
PAPC008271103TC1900X
CALPCC11223103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling