NICOLE M. HISAKA

LOS ANGELES, CA
NPI1356716039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  33188)
Additional Taxonomies103TC2200X Psychologist, Clinical Child & Adolescent
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-12-07
Last Update Date2023-10-27
Business Address
NICOLE M. HISAKA M.A.
760 WESTWOOD PLZ # A8-159
LOS ANGELES, CA 90024-5055
Phone number: 310-794-0678
Mailing Address
NICOLE M. HISAKA M.A.
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8771