Individual provider · Type 1 NPI

David Lisak

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1386185031 Active

Practice location

256 Buena Vista St
Grass Valley, CA 95945-7239

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XMRT2525 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386185031

David Lisak's National Provider Identifier is 1386185031, issued on Mar 14, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 14, 2017.