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Lisa Danielle Bagby
Mental Health Counselor in Ventura, California
NPI 1699900779

Lisa Danielle Bagby is a Mental Health Counselor based in Grimes, CA and is specialized in Mental Health. Lisa Danielle Bagby practices in Ventura, CA. The NPI Number for Lisa Danielle Bagby is 1699900779 and holds a License No. (California).

The current practice location address for Lisa Danielle Bagby is 5810 Ralston St Fl 2, Ventura, CA and can be reached out via phone at 805-642-7033 and via fax at 805-642-7201.

Location: 5810 Ralston St Fl 2, Ventura, CA, 50111-8889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699900779
Provider Name
Lisa Danielle Bagby
Credential
Provider Entity Type
Individual
Gender
Female
Address
5810 Ralston St Fl 2, Ventura, CA, 50111-8889
Phone Number
805-642-7033
Fax Number
805-642-7201
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174400000X 01 CA 17-OTHER SERVICES
institution
Provider Business Practice Location Address Details
Address
5810 Ralston St Fl 2
City
Ventura
State
California
Zip
93003-6010
Phone Number
805-642-7033
Fax Number
805-642-7201
person
Provider Business Mailing Address Details
Address
5810 Ralston St Fl 2
City
Ventura
State
California
Zip
93003-6010
Phone Number
805-642-7033
Fax Number
805-642-7201
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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