Individual provider · Type 1 NPI

Shalise Lugo, PSYD

Mental Health Counselor · Ventura, CA

NPI number 1063204162 Active

Practice location

260 Maple Ct Ste 103
Ventura, CA 93003-3553

Call (805) 658-8402 Map

Mailing address

539 Foothill Rd
Santa Paula, CA 93060-1909

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPSB94025910 (CA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1063204162

Shalise Lugo, PSYD's National Provider Identifier is 1063204162, issued on May 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ventura, CA. The record was last updated on Jun 18, 2025.