TIMOTHY PAUL LISAGOR

ENCINO, CA
NPI1780439299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  141474)
Enumeration Date2024-04-18
Last Update Date2024-04-18
Business Address
TIMOTHY PAUL LISAGOR AMFT
16250 VENTURA BLVD STE 465
ENCINO, CA 91436-4620
Phone number: 818-906-0406
Mailing Address
TIMOTHY PAUL LISAGOR AMFT
932 W GLENOAKS BLVD APT 3
GLENDALE, CA 91202-2756
Phone number:
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