Individual provider · Type 1 NPI

Lisa Wynland Lukianoff

Mental Health Counselor · San Rafael, CA

NPI number 1003009408 Active

Practice location

555 Northgate Dr, Family Service Agency Of Marin
San Rafael, CA 94903-3680

Call (415) 491-5700 Map

Mailing address

PO Box 513
Forest Knolls, CA 94933-0513

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003009408

Lisa Wynland Lukianoff's National Provider Identifier is 1003009408, issued on Aug 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Aug 20, 2007.