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Lisa Marie Fatu
Counselor in Santa Rosa, California
NPI 1811038094

Lisa Marie Fatu is a Counselor based in Santa Rosa, CA. Lisa Marie Fatu practices in Santa Rosa, CA. The NPI Number for Lisa Marie Fatu is 1811038094 and holds a License No. (California).

The current practice location address for Lisa Marie Fatu is 3440 Airway Dr Ste E, Santa Rosa, CA and can be reached out via phone at 707-544-3299 and via fax at 707-544-6837. You can also correspond with Lisa Marie Fatu through the mailing address at 3440 AIRWAY DR STE E, SANTA ROSA, CA - 95403-2065 (mailing address contact number: 707-544-3299).

Location: 3440 Airway Dr Ste E, Santa Rosa, CA, 95403-2065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811038094
Provider Name
Lisa Marie Fatu
Credential
Provider Entity Type
Individual
Gender
Female
Address
3440 Airway Dr Ste E, Santa Rosa, CA, 95403-2065
Phone Number
707-544-3299
Fax Number
707-544-6837
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3440 Airway Dr Ste E
City
Santa Rosa
State
California
Zip
95403-2065
Phone Number
707-544-3299
Fax Number
707-544-6837
person
Provider Business Mailing Address Details
Address
3440 Airway Dr Ste E
City
Santa Rosa
State
California
Zip
95403-2065
Phone Number
707-544-3299
Fax Number
707-544-6837
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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