| Lisa Eaton Therapy And Coaching, A Licensed Clinical Social Worker Cor | |
|
3014 Lupine Lake Forest CA 92630-8439 | |
| (815) 985-7120 | |
| Not Available |
| Full Name | Lisa Eaton Therapy And Coaching, A Licensed Clinical Social Worker Cor |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3014 Lupine, Lake Forest, California |
| Authorized Official Name and Position | Lisa Marie Eaton (PRESIDENT) |
| Authorized Official Contact | 9492361990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Eaton Therapy And Coaching, A Licensed Clinical Social Worker Cor 26741 Portola Pkwy Ste 1e Foothill Ranch CA 92610-1763 Ph: (949) 236-1990 | Lisa Eaton Therapy And Coaching, A Licensed Clinical Social Worker Cor 3014 Lupine Lake Forest CA 92630-8439 Ph: (815) 985-7120 |
| NPI Number | 1306459029 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306459029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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