Individual provider · Type 1 NPI

Tracy Rose Cynthia Lisauskas, LMFT, MA

Marriage & Family Therapist · San Clemente, CA

NPI number 1013774884 Active

Practice location

3504 Avenida Del Presidente Apt 20
San Clemente, CA 92672-4533

Call (562) 261-4103 Map

Mailing address

33959 Doheny Park Rd # 1010
San Juan Capistrano, CA 92675-4835

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	145077 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1013774884

Tracy Rose Cynthia Lisauskas, LMFT, MA's National Provider Identifier is 1013774884, issued on Feb 28, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Clemente, CA. The record was last updated on Feb 28, 2024.