Axelrod, Lisa

Axelrod, Lisa is an individual health care provider with primary practice located at 73567 Fred Waring Dr , Palm Desert CA 92260. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Axelrod, Lisa can be contacted via phone (760) 772-6745.

Contact Information

Primary practice address
73567 Fred Waring Dr Palm Desert CA 92260
Phone: (760) 772-6745
Fax: (860) 772-6745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC21161 California

Profile Details

NPI number 1699874149
LBN Legal business name Axelrod, Lisa
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699874149 NPPES
California MEDICAID 33BGC7

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