Individual
LISA MAZNIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CCM, QMHP, BCC
Contact information
Practice address
1400 N MARTEL AVE APT 202, LOS ANGELES, CA 90046
(248) 495-1159
Mailing address
1400 N MARTEL AVE APT 202, LOS ANGELES, CA 90046-4276
(248) 495-1159
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401002419
MI
Other
Enumeration date
11/26/2014
Last updated
07/06/2018
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