Individual provider · Type 1 NPI

Austen J. Lison

Mental Health Counselor · Irvine, CA

NPI number 1750142139 Active

Practice location

17782 Cowan Ste A
Irvine, CA 92614-6041

Mailing address

2605 W Curie Ave Apt B
Santa Ana, CA 92704-8352

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15465 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1750142139

Austen J. Lison's National Provider Identifier is 1750142139, issued on Jan 22, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Irvine, CA. The record was last updated on Jan 22, 2024.