Doctor Name: | LISA GRACE POLISANO |
NPI Number: | 1043342140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 46922 |
Business Practice Address: | 975 Flynn Rd Camarillo, CA - 930128704 |
Business Phone Number: | 8059141439 |
Business Fax Number: | 8054820987 |
Mailing Address: | 4798 Sullivan St, #103 VENTURA |
State: | CA |
Postal Code: | 930038213 |
Phone Number: | 8189296586 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 03/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | 46922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |