Provider Demographics
NPI:1972524379
Name:CANO, LISA V (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:V
Last Name:CANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 STONEHOLLOW DR STE B
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2492
Mailing Address - Country:US
Mailing Address - Phone:713-806-5675
Mailing Address - Fax:
Practice Address - Street 1:1416 STONEHOLLOW DR STE B
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2492
Practice Address - Country:US
Practice Address - Phone:713-806-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX349231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical