LISSA LIM M.A.
NPI 1114336823
Counselor - Mental Health in North Tustin, CA
Active since August 06, 2014
About Lissa Lim M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISSA LIM M.A. (NPI 1114336823) is an individual mental health provider in North Tustin, California and active in the NPI registry since August 2014.
NPPES Registry Identity
NPI1114336823
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISSA LIMCredential: M.A.
Location Address1913 E 17TH ST STE 119North Tustin, CA 92705-8627
Mailing Address258 Avalon Dr Apt DVista, CA 92084-5500
Phone(888) 958-5485
Sole ProprietorNo
Enumeration DateAugust 6, 2014
✔ NPI 1114336823 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1913 E 17TH ST STE 119, North Tustin, CA 92705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114336823, enumerated as an "individual" on August 06, 2014.
The provider is located at 1913 E 17TH ST STE 119 NORTH TUSTIN, CA 92705 and the phone number is (888) 958-5485.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
