Individual provider · Type 1 NPI

Lisa L. Rakusin

Mental Health Counselor · San Pedro, CA

NPI number 1891920716 Active

Practice location

704 W 8th St
San Pedro, CA 90731-3017

Fax (310) 833-8580

Mailing address

3342 Wimbleton Dr
Rossmoor, CA 90720-3853

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891920716

Lisa L. Rakusin's National Provider Identifier is 1891920716, issued on May 21, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Pedro, CA. The record was last updated on May 21, 2009.