# LISA CONNELY LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215314711
- **Authorized official:** LISA CONNELY MS,LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (805) 550-2918

## Contact information

- **Practice address:** 569 HIGUERA ST STE D, SAN LUIS OBISPO, CA 93401-3861
- **Practice address phone:** (805) 550-2918
- **Mailing address:** 569 HIGUERA ST STE D, SAN LUIS OBISPO, CA 93401-3861
- **Mailing address phone:** (805) 550-2918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LMFT82950 | CA | Yes |

## Other

- **Enumeration date:** 05/04/2015
- **Last updated:** 05/04/2015