person
Lisa Antoinette Temple, MFTINTERN
Professional Counselor in San Ramon, California
NPI 1861921462

Lisa Antoinette Temple is a Professional Counselor based in Fairfield, CA and is specialized in Professional. Lisa Antoinette Temple practices in San Ramon, CA and has the professional credentials of MFTINTERN. The NPI Number for Lisa Antoinette Temple is 1861921462 and holds a License No. 82166 (California).

The current practice location address for Lisa Antoinette Temple is 100 Park Pl Ste 120B, San Ramon, CA and can be reached out via phone at 925-289-1430 and via fax at 925-289-1430.

Location: 100 Park Pl Ste 120B, San Ramon, CA, 94534-3310
person
Provider Profile Details
NPI Number
1861921462
Provider Name
Lisa Antoinette Temple
Credential
MFTINTERN
Provider Entity Type
Individual
Gender
Female
Address
100 Park Pl Ste 120B, San Ramon, CA, 94534-3310
Phone Number
925-289-1430
Fax Number
925-289-1430
Provider Enumeration Date
06/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Park Pl Ste 120B
City
State
Zip
94583-4460
Phone Number
925-289-1430
Fax Number
925-289-1430
person
Provider Business Mailing Address Details
Address
100 Park Pl Ste 120B
City
State
Zip
94583-4460
Phone Number
925-289-1430
Fax Number
925-289-1430
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
82166 (California)
Definition
Definition to come...
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