Lisa Nicholson

NPI #1013208917 in Signal Hill, California

Provider Information

NPI Number
1013208917
Entity Type
Individual
Name
Lisa Nicholson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Apr 26, 2011
Last Updated
Apr 26, 2011

Practice Location

Address
1984 OBISPO AVE
Address 2
STE 1A
ZIP Code
90755-1234
Phone
(562) 343-5800

Specialties & Taxonomy Codes

Specialty
Counselor

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