Individual
LISA ANNA MARCIOCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 W G ST, LOS BANOS, CA 93635-3657
(209) 710-6100
Mailing address
40 W G ST, LOS BANOS, CA 93635-3657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
08/21/2018
Last updated
10/11/2023
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