LISA WENNINGER

SAN RAFAEL, CA
NPI1730728783
Former NameEVELYN WENNINGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: CA  14315)
Additional Taxonomies101YP2500X Counselor Professional
(Licence: CA  14315)
Enumeration Date2019-12-21
Last Update Date2023-07-28
Business Address
LISA WENNINGER LPCC, NCC, BC-TMH
101 LUCAS VALLEY RD STE 267
SAN RAFAEL, CA 94903-1761
Phone number: 408-412-1108
Mailing Address
LISA WENNINGER LPCC, NCC, BC-TMH
PO BOX 1604
MILL VALLEY, CA 94942-1604
Phone number: