Individual provider · Type 1 NPI

Genova Isamar Hernandez Lizardo

Marriage & Family Therapist · Crestline, CA

NPI number 1629967732 Active

Practice location

24028 Lake Dr.
Crestline, CA 92325

Call (909) 338-3222 Map

Mailing address

PO Box 4644
Blue Jay, CA 92317-4644

Other practice locations

  • 27307 Ca St Hwy 189, Suite 205, Blue Jay, CA 92317 · (909) 338-3222

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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…

3 other providers at this address

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About NPI 1629967732

Genova Isamar Hernandez Lizardo's National Provider Identifier is 1629967732, issued on Jul 2, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Crestline, CA. The record was last updated on Jul 2, 2025.