Individual
MRS. LISA MARIE BARTSCH VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-780
Contact information
Practice address
76-1012 MAMALAHOA HWY, HOLUALOA, HI 96725
(650) 740-8073
Mailing address
76-1012 MAMALAHOA HWY, HOLUALOA, HI 96725
(650) 740-8073
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
47297
CA
106H00000X
Marriage & Family Therapist
Primary
MFT-780
HI
Other
Enumeration date
07/13/2009
Last updated
03/17/2023
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