Individual
LISA MANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455A VALENCIA ST, SAN FRANCISCO, CA 94103-3416
(775) 338-0634
Mailing address
PO BOX 16732, SAN FRANCISCO, CA 94116-0732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC 270
CA
101YP2500X
Professional Counselor
Primary
LPC 270
CA
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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