Individual provider · Type 1 NPI

Lisa Fung Rong Chen, MA

Mental Health Counselor · Encino, CA

NPI number 1083345334 Active

Practice location

16133 Ventura Blvd
Encino, CA 91436-2403

Mailing address

12921 Mission Ave Unit 102
Hawthorne, CA 90250-5867

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X131794 (CA)
Mental Health Counselor Primary 101YM0800X131794 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1083345334

Lisa Fung Rong Chen, MA's National Provider Identifier is 1083345334, issued on Jun 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Encino, CA. The record was last updated on Jun 17, 2022.