Individual provider · Type 1 NPI

Tate Lizagub

Mental Health Counselor · Mission Hills, CA

NPI number 1689235616 Active

Practice location

15455 San Fernando Mission Blvd Ste 300
Mission Hills, CA 91345-1353

Call (818) 939-2269 Map

Mailing address

929 Glenwood Rd
Glendale, CA 91202-2052

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689235616

Tate Lizagub's National Provider Identifier is 1689235616, issued on Jun 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mission Hills, CA. The record was last updated on Jun 20, 2019.