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Organization
LISA CONNELY LMFT
Active
Organization
LISA CONNELY LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CONNELY MS,LMFT (MARRIAGE AND FAMILY THERAPIST)
(805) 550-2918
Entity
Organization
Contact information
Practice address
569 HIGUERA ST STE D, SAN LUIS OBISPO, CA 93401-3861
(805) 550-2918
Mailing address
569 HIGUERA ST STE D, SAN LUIS OBISPO, CA 93401-3861
(805) 550-2918
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT82950
CA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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