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1174203699
MICHAEL JEFFREY LISKA
LAGUNA HILLS, CA
NPI
1174203699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
MICHAEL JEFFREY LISKA
24953 PASEO DE VALENCIA BUILDING B, SUITE 1B
LAGUNA HILLS, CA 92653
Phone number: 949-540-0170
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Mailing Address
MICHAEL JEFFREY LISKA
24953 PASEO DE VALENCIA BUILDING B, SUITE 1B
LAGUNA HILLS, CA 92653
Phone number: 949-540-0170
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