Individual
LISA A HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISA
Contact information
Practice address
4600 S TRACY BLVD, TRACY, CA 95377-8105
(209) 640-4179
Mailing address
754 GRIZZLY CT, TRACY, CA 95304-5985
(209) 597-1553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LMFT37610
CA
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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