LISA MARIE POLACCI

SAN RAFAEL, CA
NPI1023838158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  65052)
Enumeration Date2024-10-14
Last Update Date2024-10-14
Business Address
Mrs. LISA MARIE POLACCI LCSW
11 MARINERS CIR
SAN RAFAEL, CA 94903-5100
Phone number: 415-407-0255
Mailing Address
Mrs. LISA MARIE POLACCI LCSW
11 MARINERS CIR
SAN RAFAEL, CA 94903-5100
Phone number: 415-407-0255