Lister, Fanita Marian

Lister, Fanita Marian is an individual health care provider with primary practice located at 2659 Townsgate Rd #201, Westlake Village CA 91361-2710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lister, Fanita Marian can be contacted via phone (805) 495-0598.

Contact Information

Primary practice address
2659 Townsgate Rd #201 Westlake Village CA 91361-2710
Phone: (805) 495-0598
Fax: (805) 381-9140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS11086 California

Profile Details

NPI number 1376645473
LBN Legal business name Lister, Fanita Marian
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1376645473 NPPES
California MEDICAID 1321432

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