Individual
LAURIE LAURRAINE LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
527 D ST, SAN RAFAEL, CA 94901-3801
(707) 328-5594
(707) 328-5594
Mailing address
527 D ST, SAN RAFAEL, CA 94901-3801
(707) 328-5594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
06/12/2023
Last updated
11/06/2025
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