Individual
MS. ANNE O. LISENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1420 WILLOW PASS RD, SUITE 110, CONCORD, CA 94520-5223
(925) 646-5480
(925) 646-5686
Mailing address
3286 FORMBY LANE, FAIRFIELD, CA 94534
(925) 354-3626
(925) 646-5686
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC 32211
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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