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Individual
LISA MARIE CELENTANO
Active
Individual
LISA MARIE CELENTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60831521
WA
101YM0800X
Mental Health Counselor
Primary
LH61116188
WA
101YM0800X
Mental Health Counselor
MC60831521
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
09/23/2016
Last updated
09/26/2022
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