Individual
DANIEL LIZARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 M ST, RIO LINDA, CA 95673
(916) 287-4067
Mailing address
505 M ST, RIO LINDA, CA 95673-2218
(916) 287-4067
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
ASW84388
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2016
Last updated
08/09/2018
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