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1750142139
AUSTEN J LISON
IRVINE, CA
NPI
1750142139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 15465)
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
AUSTEN J LISON
17782 COWAN STE A
IRVINE, CA 92614-6041
Phone number: 949-722-7118
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Mailing Address
AUSTEN J LISON
2605 W CURIE AVE APT B
SANTA ANA, CA 92704-8352
Phone number: 703-431-7839
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