Lisa Nicholson
Counselor in Signal Hill, CA. Individual provider (NPI-1).
NPI number1013208917
StatusActive
Last updated in NPPESApr 26, 2011
Details
- NPI
- 1013208917
- Entity type
- Individual (NPI-1)
- Name
- Lisa Nicholson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2011
- Last updated
- Apr 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1984 Obispo AveSte 1a
Signal Hill, CA 90755-1234
Phone 562-343-5800
Mailing address
1984 Obispo AveSte 1a
Signal Hill, CA 90755-1234
Phone 562-343-5800
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