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Austen J Lison
Mental Health Counselor in Irvine, California
NPI 1750142139

Austen J Lison is a Mental Health Counselor based in Santa Ana, CA and is specialized in Mental Health. Austen J Lison practices in Irvine, CA. The NPI Number for Austen J Lison is 1750142139 and holds a License No. 15465 (California).

The current practice location address for Austen J Lison is 17782 Cowan Ste A, Irvine, CA and can be reached out via phone at 949-722-7118.

Location: 17782 Cowan Ste A, Irvine, CA, 92704-8352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750142139
Provider Name
Austen J Lison
Credential
Provider Entity Type
Individual
Gender
Male
Address
17782 Cowan Ste A, Irvine, CA, 92704-8352
Phone Number
949-722-7118
Fax Number
Provider Enumeration Date
01/22/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17782 Cowan Ste A
City
Irvine
State
California
Zip
92614-6041
Phone Number
949-722-7118
Fax Number
person
Provider Business Mailing Address Details
Address
17782 Cowan Ste A
City
Irvine
State
California
Zip
92614-6041
Phone Number
949-722-7118
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
15465 (California)
Definition
Definition to come...
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