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Lisa Wynland Lukianoff

Mental Health Counselor

555 Northgate Dr Family Service Agency Of Marin
San Rafael , California 94903-3680

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Image

Lisa Wynland Lukianoff

Mental Health Counselor

555 Northgate Dr Family Service Agency Of Marin
San Rafael , California 94903-3680

(415) 488-8802

Write a Review Save Call

Lisa Wynland Lukianoff

Mental Health Counselor

555 Northgate Dr Family Service Agency Of Marin
San Rafael , California 94903-3680

(415) 488-8802 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Mental Health Counselor

Languages spoken

  • English

Location

555 Northgate Dr Family Service Agency Of Marin San Rafael , California 94903-3680

First Address

  • Lisa Wynland Lukianoff
  • Po Box 513
  • Forest Knolls, CA
  • Zip : 94933-0513
  • Phone : (415) 488-8802

Second Address

  • Lisa Wynland Lukianoff
  • 555 Northgate Dr Family Service Agency Of Marin
  • San Rafael, CA
  • Zip : 94903-3680
  • Phone : (415) 491-5700

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FAQs


Where did Lisa Wynland Lukianoff attend graduate school?

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Where did Lisa Wynland Lukianoff do her residency?

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Where did Lisa Wynland Lukianoff do her fellowship?

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Is Lisa Wynland Lukianoff board certified?

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What type of doctor is Lisa Wynland Lukianoff

Mental Health Counselor

In what state does Lisa Wynland Lukianoff practice in?

California

Where is Lisa Wynland Lukianoff ’s practice located?

555 Northgate Dr Family Service Agency Of Marin , San Rafael, California, 94903-3680

What is Lisa Wynland Lukianoff ’s gender?

Female

Is Lisa Wynland Lukianoff a sole practitioner?

No

Is Lisa Wynland Lukianoff accepting new patients?

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What languages does Lisa Wynland Lukianoff speak?

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Does Lisa Wynland Lukianoff accept insurance?

Yes, Lisa Wynland Lukianoff accepts insurance

Does Lisa Wynland Lukianoff offers telemedicine?

Lisa Wynland Lukianoff has not indicated if she offers telemedicine

What is Lisa Wynland Lukianoff ’s professional license number?

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What is Lisa Wynland Lukianoff ’s NPI number?

1003009408

Does Lisa Wynland Lukianoff have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 101YM0800X Mental Health Counselor

National Provider Identifier

NPI 1003009408
Provider Name Lisa Wynland Lukianoff
First Address Forest Knolls, CA 94933-0513
Second Address San Rafael, CA 94903-3680
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 20/08/2007
Last Update Date 20/08/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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