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Stephanie Lisius
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1578796488

Stephanie Lisius is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Stephanie Lisius practices in Santa Rosa, CA. The NPI Number for Stephanie Lisius is 1578796488 and holds a License No. L0701091027 (California).

The current practice location address for Stephanie Lisius is 3315 Airway Dr, Santa Rosa, CA and can be reached out via phone at 707-523-2242 and via fax at 707-526-3817.

Location: 3315 Airway Dr, Santa Rosa, CA, 95403-2005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578796488
Provider Name
Stephanie Lisius
Credential
Provider Entity Type
Individual
Gender
Female
Address
3315 Airway Dr, Santa Rosa, CA, 95403-2005
Phone Number
707-523-2242
Fax Number
707-526-3817
Provider Enumeration Date
08/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3315 Airway Dr
City
Santa Rosa
State
California
Zip
95403-2005
Phone Number
707-523-2242
Fax Number
707-526-3817
person
Provider Business Mailing Address Details
Address
3315 Airway Dr
City
Santa Rosa
State
California
Zip
95403-2005
Phone Number
707-523-2242
Fax Number
707-526-3817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
L0701091027 (California)
Definition
Definition to come...
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