Lisa Wynland Lukianoff
NPI #1003009408 in San Rafael, California
Provider Information
- NPI Number
- 1003009408
- Entity Type
- Individual
- Name
- Lisa Wynland Lukianoff
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 20, 2007
- Last Updated
- Aug 20, 2007
Practice Location
- Address
- 555 NORTHGATE DR
- Address 2
- FAMILY SERVICE AGENCY OF MARIN
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-3680
- Phone
- (415) 491-5700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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