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Lisa Marie Gustafson
Addiction (Substance Use Disorder) Counselor in Oxnard, California
NPI 1114784154

Lisa Marie Gustafson is an Addiction (Substance Use Disorder) Counselor based in Oxnard, CA and is specialized in Addiction (Substance Use Disorder). Lisa Marie Gustafson practices in Oxnard, CA. The NPI Number for Lisa Marie Gustafson is 1114784154 and holds a License No. (California).

The current practice location address for Lisa Marie Gustafson is 2150 N Victoria Ave, Oxnard, CA and can be reached out via phone at 805-382-6296.

Location: 2150 N Victoria Ave, Oxnard, CA, 93036-7791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114784154
Provider Name
Lisa Marie Gustafson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2150 N Victoria Ave, Oxnard, CA, 93036-7791
Phone Number
805-382-6296
Fax Number
Provider Enumeration Date
03/05/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2150 N Victoria Ave
City
Oxnard
State
California
Zip
93036-7791
Phone Number
805-382-6296
Fax Number
person
Provider Business Mailing Address Details
Address
2150 N Victoria Ave
City
Oxnard
State
California
Zip
93036-7791
Phone Number
805-382-6296
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
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