# LISA JORGENSEN PROFESSIONAL CLINICAL COUNSELOR PROF CORP

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

## Provider details

- **NPI number:** 1962354555
- **Authorized official:** LISA JORGENSEN MS, LMFT, LPCC (OWNER/FOUNDER)
- **Authorized official phone:** (657) 210-2331

## Contact information

- **Practice address:** 27281 LAS RAMBLAS STE 208, MISSION VIEJO, CA 92691-8303
- **Practice address phone:** (657) 210-2331
- **Mailing address:** 24001 CALLE DE LA MAGDALENA UNIT 3253, LAGUNA HILLS, CA 92654-1250
- **Mailing address phone:** (657) 210-2331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2026
- **Last updated:** 02/26/2026
