Lisa Holden, LMFT131412
Lisa Holden, LMFT131412 is a Marriage and Family Therapist in Capitola, California. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1500 41st Ave Ste 240Capitola, CA 95010-2900
Phone: (831) 222-0073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X (CA) |
Record details
| NPI number | 1558996835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMFT131412 |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2020 |
| Last updated in NPPES | May 5, 2023 |
| Certification date | May 5, 2023 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
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Mr. Jason Andrew Koehler, MA, MFTI
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MS. Elizabeth Kovacevich, MFT
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