Lisette E Banuelos, MFTI
NPI #1053550962 in Inglewood, California
Provider Information
- NPI Number
- 1053550962
- Entity Type
- Individual
- Name
- Lisette E Banuelos, MFTI
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFTI
- Enumeration Date
- Feb 17, 2009
- Last Updated
- Feb 17, 2009
Practice Location
- Address
- 111 N LA BREA AVE
- City
- Inglewood
- State
- California
- ZIP Code
- 90301-1752
- Phone
- (310) 677-7808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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