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Lisa Wynland Lukianoff
Mental Health Counselor in San Rafael, California
NPI 1003009408

Lisa Wynland Lukianoff is a Mental Health Counselor based in Forest Knolls, CA and is specialized in Mental Health. Lisa Wynland Lukianoff practices in San Rafael, CA. The NPI Number for Lisa Wynland Lukianoff is 1003009408 and holds a License No. (California).

The current practice location address for Lisa Wynland Lukianoff is 555 Northgate Dr, San Rafael, CA and can be reached out via phone at 415-491-5700.

Location: 555 Northgate Dr, San Rafael, CA, 94933-0513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003009408
Provider Name
Lisa Wynland Lukianoff
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Northgate Dr, San Rafael, CA, 94933-0513
Phone Number
415-491-5700
Fax Number
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Northgate Dr
City
San Rafael
State
California
Zip
94903-3680
Phone Number
415-491-5700
Fax Number
person
Provider Business Mailing Address Details
Address
555 Northgate Dr
City
San Rafael
State
California
Zip
94903-3680
Phone Number
415-491-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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