LISA ANN KUBIAK


Address: 900 Mission Ave, San Rafael, CA 94901-6108
Phone: 4154569350

LISA ANN KUBIAK (NPI# 1073867081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073867081
Entity Type Individual
Full Name LISA ANN KUBIAK
Practice Address 900 Mission Ave
San Rafael
CA 94901-6108
Mailing Address 1352 Oak View Cir
#318
Rohnert Park
CA 94928-2997
Practice Telephone 4154569350
Mailing Telephone 4152600510
Enumeration Date 2012-10-30
Last Update Date 2012-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 900 MISSION AVE
City SAN RAFAEL
State CA
Zip Code 94901-6108

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851830483 Bea Ivory-chambers Counselor 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 2017-02-15
1932559069 Julia Prentice Counselor 920 Cresta Way, #6, San Rafael, CA 94903-5573 2016-06-20
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1033528575 Diane Louise Ray Counselor 4 Majorca Ct, San Rafael, CA 94903-1520 2014-08-08
1487072542 Julie Lehman Counselor 1717 5th Ave Ste E, San Rafael, CA 94901-1810 2014-04-04
1740530815 Deborah Ann Spake Counselor 712 D St. Suite P, San Rafael, CA 94901 2012-09-14
1386993210 Sarah Tischler Aikin Counselor 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-06
1477810182 Amanda Gloria Jean Conn Counselor 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 2012-04-19
1558647487 Katherine O Bregar Counselor 361 Third St. Suite G, San Rafael, CA 94901 2011-10-24
1255614889 Corrissa Madden-grubb Counselor 900 Fifth Avenue, Suite 150;, San Rafael, CA 94901 2011-09-20
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Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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