Harris, Lisa Ann
Harris, Lisa Ann is an individual health care provider with primary practice located at 4075 Twining St , Jurupa Valley CA 92509-6758. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Harris, Lisa Ann can be contacted via phone (951) 990-2497.Contact Information
Primary practice address
4075 Twining St
Jurupa Valley CA 92509-6758
Phone: (951) 990-2497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT 62190 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 105746 | California |
Profile Details
| NPI number | 1326376617 |
|---|---|
| LBN Legal business name | Harris, Lisa Ann |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2009 |
| Last updated | Apr 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326376617 | NPPES |
| California | MEDICAID | 7544 |
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