Kinnebrew, Lisa Marie

Kinnebrew, Lisa Marie is an individual health care provider with primary practice located at 1520 Eureka Rd Ste 102 , Roseville CA 95661-2849. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Kinnebrew, Lisa Marie can be contacted via phone (530) 893-0758.

Contact Information

Primary practice address
1520 Eureka Rd Ste 102 Roseville CA 95661-2849
Phone: (530) 893-0758
Fax: (530) 893-0502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT140797 California

Profile Details

NPI number 1972059434
LBN Legal business name Kinnebrew, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Oct 20th, 2023 - about 2 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.

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