LISA COLLISS

CAMPBELL, CA
NPI1306912902
Former NameLISA QUIETO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCS24713)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  ACSW18814)
Enumeration Date2006-11-27
Last Update Date2012-05-25
Business Address
-- LISA COLLISS LCSW
51 E CAMPBELL AVE SUITE 103A
CAMPBELL, CA 95008-2047
Phone number: 408-376-4115
Mailing Address
-- LISA COLLISS LCSW
51 E CAMPBELL AVE SUITE 103A
CAMPBELL, CA 95008-2047
Phone number: 408-376-4115