person
Lisa Mary Charlebois, LCSW
Professional Counselor in Gold River, California
NPI 1851310957

Lisa Mary Charlebois is a Professional Counselor based in Gold River, CA and is specialized in Professional. Lisa Mary Charlebois practices in Gold River, CA and has the professional credentials of LCSW. The NPI Number for Lisa Mary Charlebois is 1851310957 and holds a License No. LCS 15125 (California).

The current practice location address for Lisa Mary Charlebois is 11344 Coloma Rd, Gold River, CA and can be reached out via phone at 916-552-6122 and via fax at 916-852-5838.

Location: 11344 Coloma Rd, Gold River, CA, 95670-4457
person
Provider Profile Details
NPI Number
1851310957
Provider Name
Lisa Mary Charlebois
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
11344 Coloma Rd, Gold River, CA, 95670-4457
Phone Number
916-552-6122
Fax Number
916-852-5838
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
049887 01 CA MANAGED HEALTH NETWORK ID
LCS151251 01 CA BLUE SHIELD ID #
institution
Provider Business Practice Location Address Details
Address
11344 Coloma Rd
City
State
Zip
95670-4457
Phone Number
916-552-6122
Fax Number
916-852-5838
person
Provider Business Mailing Address Details
Address
11344 Coloma Rd
City
State
Zip
95670-4457
Phone Number
916-552-6122
Fax Number
916-852-5838
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCS 15125 (California)
Definition
Definition to come...
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