Tracy Rose Cynthia Lisauskas, LMFT, MA
NPI #1013774884 in San Clemente, California
Provider Information
- NPI Number
- 1013774884
- Entity Type
- Individual
- Name
- Tracy Rose Cynthia Lisauskas, LMFT, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT, MA
- Enumeration Date
- Feb 28, 2024
- Last Updated
- Feb 28, 2024
Practice Location
- Address
- 3504 AVENIDA DEL PRESIDENTE APT 20
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4533
- Phone
- (562) 261-4103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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