Lisa Mary Charlebois, L.C.S.W.
NPI #1851310957 in Gold River, California
Provider Information
- NPI Number
- 1851310957
- Entity Type
- Individual
- Name
- Lisa Mary Charlebois, L.C.S.W.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.C.S.W.
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11344 COLOMA RD
- Address 2
- SUITE 250
- City
- Gold River
- State
- California
- ZIP Code
- 95670-4457
- Phone
- (916) 552-6122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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