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Lisanne Grey
Addiction (Substance Use Disorder) Counselor in Ontario, California
NPI 1326590977

Lisanne Grey is an Addiction (Substance Use Disorder) Counselor based in Ontario, CA and is specialized in Addiction (Substance Use Disorder). Lisanne Grey practices in Ontario, CA. The NPI Number for Lisanne Grey is 1326590977 and holds a License No. (California).

The current practice location address for Lisanne Grey is 2940 Inland Empire Blvd, Ontario, CA and can be reached out via phone at 909-458-1376 and via fax at 909-944-1059.

Location: 2940 Inland Empire Blvd, Ontario, CA, 91764-4898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326590977
Provider Name
Lisanne Grey
Credential
Provider Entity Type
Individual
Gender
Female
Address
2940 Inland Empire Blvd, Ontario, CA, 91764-4898
Phone Number
909-458-1376
Fax Number
909-944-1059
Provider Enumeration Date
10/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764-4898
Phone Number
909-458-1376
Fax Number
909-944-1059
person
Provider Business Mailing Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764-4898
Phone Number
909-458-1376
Fax Number
909-944-1059
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
9795 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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