MRS. Lisa Lanelle Wyly, LCSW
NPI #1770610040 in Lake Isabella, California
Provider Information
- NPI Number
- 1770610040
- Entity Type
- Individual
- Name
- MRS. Lisa Lanelle Wyly, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCSW
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Apr 18, 2025
Practice Location
- Address
- 6412 LAUREL AVE
- City
- Lake Isabella
- State
- California
- ZIP Code
- 93240-9529
- Phone
- (760) 417-1932
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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| Heather Alldredge Menzel | |
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| MR. Charles E Foster, CCAPP RII05130515 |
Organizations
| Provider Name | |
|---|---|
| Reseda Substance Abuse Treatment Center |
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