NPI 1023445616

Lisa Benitez, MA

Practitioner Marriage & Family Therapist Petaluma, CA

Practice location

Address: 365 Kuck Ln, Petaluma, CA 94952-9606
Phone: (707) 795-6954

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence IMF66262 (CA)

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Registry record

NPI: 1023445616
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2013
Record last updated: 27 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.