Provider Demographics
NPI:1275626707
Name:HOWARD, LISA JANE (MFT)
Entity Type:Individual
Prefix:PROF
First Name:LISA
Middle Name:JANE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43723 20TH ST W STE 201
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4784
Mailing Address - Country:US
Mailing Address - Phone:661-948-0871
Mailing Address - Fax:
Practice Address - Street 1:43723 20TH ST W STE 201
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4784
Practice Address - Country:US
Practice Address - Phone:661-948-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30263101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC30263OtherMARRIAGE AND FAMILY THERI