Individual
LISSA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 INGLEWOOD AVE, REDONDO BEACH, CA 90278-3912
(310) 798-8690
Mailing address
1401 INGLEWOOD AVE, REDONDO BEACH, CA 90278-3912
(310) 798-8690
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
CA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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