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Lissa Koenig

NPI 1285194993 · on the registry since 2019

Practice

Address
1915 Placer St
Redding, CA 96001
Phone
(530) 232-1834
Organisation at this address
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California