Individual provider · Type 1 NPI

Lisa Wollard

Mental Health Counselor · Diamond Springs, CA

NPI number 1861868754 Active

Practice location

768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260

Call (530) 621-6290 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861868754

Lisa Wollard's National Provider Identifier is 1861868754, issued on Aug 14, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Diamond Springs, CA. The record was last updated on Aug 14, 2015.