LISA WYNLAND LUKIANOFF

SAN RAFAEL, CA
NPI1003009408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
-- LISA WYNLAND LUKIANOFF
555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903-3680
Phone number: 415-491-5700
Mailing Address
-- LISA WYNLAND LUKIANOFF
PO BOX 513
FOREST KNOLLS, CA 94933-0513
Phone number: 415-488-8802