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Individual

SASHA MICHELLE LIZARDI LUQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
591 CAMINO DE LA REINA STE 210, SAN DIEGO, CA 92108-3104
(619) 206-5271
Mailing address
591 CAMINO DE LA REINA STE 210, SAN DIEGO, CA 92108-3104

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17100
CA
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner

Other

Enumeration date
08/10/2021
Last updated
08/07/2025
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