Individual
LISA MARIE SAWADOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
555 RALPH APPEZZATO MEMORIAL PRKWY, ALMEDA, CA 94501
(510) 560-3508
Mailing address
6114 LA SALLE AVE STE 757, OAKLAND, CA 94611-2802
(510) 560-3508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
357
CA
Other
Enumeration date
02/15/2010
Last updated
04/02/2021
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