Individual provider · Type 1 NPI

Lisa Banasiak

Professional Counselor · Riverside, CA

NPI number 1578908752 Active

Practice location

7130 Magnolia Ave, Ste. R
Riverside, CA 92504-3864

Call (951) 213-6742 Map

Fax (951) 534-0551

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPCI 208 (CA)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1578908752

Lisa Banasiak's National Provider Identifier is 1578908752, issued on May 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Riverside, CA. The record was last updated on May 1, 2013.