Larimer Burtis, Lisa

Larimer Burtis, Lisa is an sole proprietor health care provider with primary practice located at 347 Cypress St Ste A , Fort Bragg CA 95437-5458. 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. Larimer Burtis, Lisa can be contacted via phone (707) 972-2261.

Contact Information

Primary practice address
347 Cypress St Ste A Fort Bragg CA 95437-5458
Phone: (707) 972-2261
Fax: (707) 937-1876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT49997 California

Profile Details

NPI number 1952445454
LBN Legal business name Larimer Burtis, Lisa
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jun 20th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952445454 NPPES
California MEDICAID 1952445454

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