| Lisa Connely Lmft | |
|
569 Higuera St Ste D San Luis Obispo CA 93401-3861 | |
| (805) 550-2918 | |
| Not Available |
| Full Name | Lisa Connely Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 569 Higuera St Ste D, San Luis Obispo, California |
| Authorized Official Name and Position | Lisa Connely (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8055502918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Connely Lmft 569 Higuera St Ste D San Luis Obispo CA 93401-3861 Ph: (805) 550-2918 | Lisa Connely Lmft 569 Higuera St Ste D San Luis Obispo CA 93401-3861 Ph: (805) 550-2918 |
| NPI Number | 1215314711 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215314711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT82950 (California) | Primary |
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