Individual
MS. LISA GOLDFEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, BC-DMT
Contact information
Practice address
824 GLADYS AVE, LONG BEACH, CA 90804-4822
(562) 673-3143
Mailing address
PO BOX 14788, LONG BEACH, CA 90853-4788
(562) 673-3143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1418
CA
225600000X
Dance Therapist
1157
CA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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