Lisa Ellisbello
Lisa Ellisbello is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1477 Lincoln AveSan Rafael, CA 94901-2028
Phone: (415) 459-2395
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1447798566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2017 |
| Last updated in NPPES | February 9, 2017 |
| Mailing address | 1477 Lincoln Avenue, San Rafael, CA 94903 |
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