LISA WILD

OAKLAND, CA
NPI1699818245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  37077)
Enumeration Date2007-02-14
Last Update Date2025-11-05
Business Address
Ms. LISA WILD MFT
770 53RD ST
OAKLAND, CA 94609-1814
Phone number: 510-428-3441
Mailing Address
Ms. LISA WILD MFT
420 WAYNE AVE APT 4
OAKLAND, CA 94606-1133
Phone number: 510-428-3885