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Contact Information

LISA CARTER
534 B ST
SANTA ROSA, CA95401
 Phone: 650-271-0376
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for LISA CARTER · (Female)

NPI Number 1003396151
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2018
Last updated 08/27/2019 - About a month ago
Sole proprietor 1 No
Identifiers
  • CA License # 108570
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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