JERI LYNN LEISE

SANTA ROSA, CA
NPI1720209117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC36649)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
-- JERI LYNN LEISE MFT
1421 GUERNEVILLE RD SUITE 114
SANTA ROSA, CA 95403-7220
Phone number: 707-486-5570
Mailing Address
-- JERI LYNN LEISE MFT
PO BOX 194
SANTA ROSA, CA 95402-0194
Phone number: 707-486-5570