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Lisa M Kincherlow, LVN

Counselor, Mental Health in Pacoima, CA. Individual provider (NPI-1).

NPI number1932371663
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1932371663
Entity type
Individual (NPI-1)
Name
Mrs. Lisa M Kincherlow
Credential
LVN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2008
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

12450 Van Nuys Blvd
Suite 200
Pacoima, CA 91331-1391

Phone 818-896-1161 · Fax 818-896-5069

Mailing address

44460 Avenida Del Rio
Lancaster, CA 93535-2871

Phone 661-726-2872

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