Individual
LISA GIOVANNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
484 E SAN FERNANDO ST, SAN JOSE, CA 95112-3513
(408) 293-0422
(408) 277-2474
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-3503
(415) 639-1382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
07-039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109525
SAN JOSE CITY ID
CA
01
—
LPCC636
LICENSED PROFESSIONAL CLINICAL COUNCELOR
CA
Enumeration date
07/11/2007
Last updated
07/12/2019
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