Provider Demographics
NPI:1407235690
Name:MARCHESANI, LEE RISKIN (LMFT)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:RISKIN
Last Name:MARCHESANI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:BERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3397 MT. DIABLO BLVD. SUITE E
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549
Mailing Address - Country:US
Mailing Address - Phone:925-255-5344
Mailing Address - Fax:
Practice Address - Street 1:3397 MT. DIABLO BLVD. SUITE E
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549
Practice Address - Country:US
Practice Address - Phone:925-255-5344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-21
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT82199106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist