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Lisa Jellison, MA

Marriage & Family Therapist in Redding, CA. Individual provider (NPI-1).

NPI number1700935657
StatusActive
Last updated in NPPESMar 9, 2010

Details

NPI
1700935657
Entity type
Individual (NPI-1)
Name
Lisa Jellison
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2007
Last updated
Mar 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistMFC 46430CAYes

Practice location

3191 Churn Creek Rd
Redding, CA 96002-2123

Phone 530-224-7160

Mailing address

Po Box 991464
Redding, CA 96099-1464

Phone 530-605-3664

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