Provider Demographics
NPI:1609900273
Name:LOZANO, MONICA LISA (MS MFT)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LISA
Last Name:LOZANO
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 EAST 248TH STREET
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-6442
Mailing Address - Country:US
Mailing Address - Phone:310-549-1604
Mailing Address - Fax:
Practice Address - Street 1:601 SOUTH GLENOAKS BLVD
Practice Address - Street 2:COUNSELING 4 KIDS SUITE 200
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502
Practice Address - Country:US
Practice Address - Phone:818-441-7800
Practice Address - Fax:818-441-0014
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC37469106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist