Individual
LISA J. HACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
18226 VENTURA BLVD STE 202, TARZANA, CA 91356-4246
(818) 758-9450
Mailing address
18226 VENTURA BLVD STE 202, TARZANA, CA 91356-4246
(818) 758-9450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7007
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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