| Doctor Name: | MS. LISA KAPPAZ |
| NPI Number: | 1962722884 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS14812 |
| Business Practice Address: | 5263 Colodny Dr B9 Agoura, CA - 913012689 |
| Business Phone Number: | 8185197386 |
| Business Fax Number: | |
| Mailing Address: | 5263 Colodny Dr, Unit B9 AGOURA |
| State: | CA |
| Postal Code: | 913012689 |
| Phone Number: | 8185197386 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 06/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCS14812 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |