Individual
MISTY LISSETT FURBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
602 COMMERCE AVE STE E, PALMDALE, CA 93551-3882
(661) 752-5580
Mailing address
1320 BOYDEN AVE, LANCASTER, CA 93534-1740
(661) 752-5580
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT87990
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
59256
CA
Other
Enumeration date
07/20/2010
Last updated
01/28/2021
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