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David Lisak
Addiction (Substance Use Disorder) Counselor in Grass Valley, California
NPI 1386185031

David Lisak is an Addiction (Substance Use Disorder) Counselor based in Grass Valley, CA and is specialized in Addiction (Substance Use Disorder). David Lisak practices in Grass Valley, CA. The NPI Number for David Lisak is 1386185031 and holds a License No. MRT2525 (California).

The current practice location address for David Lisak is 256 Buena Vista St, Grass Valley, CA and can be reached out via phone at 530-274-2000.

Location: 256 Buena Vista St, Grass Valley, CA, 95945-7239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386185031
Provider Name
David Lisak
Credential
Provider Entity Type
Individual
Gender
Male
Address
256 Buena Vista St, Grass Valley, CA, 95945-7239
Phone Number
530-274-2000
Fax Number
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
256 Buena Vista St
City
Grass Valley
State
California
Zip
95945-7239
Phone Number
530-274-2000
Fax Number
person
Provider Business Mailing Address Details
Address
256 Buena Vista St
City
Grass Valley
State
California
Zip
95945-7239
Phone Number
530-274-2000
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.
MRT2525 (California)
Definition
Definition to come...
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