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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA AMY RUDERMAN, MA MFT

Active Sole Proprietor

MRS. LISA AMY RUDERMAN, MA MFT is a Mental Health Counselor healthcare provider located in LA JOLLA, California. NPI 1912044124 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LA JOLLA, CA

Registration Details

NPI Number
1912044124
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2007 (19.520855152058 yrs)
Last Updated
Jul 8, 2007
License
MFC37853 (CA)
Sole Proprietor
Yes

Practice Information

Address
9850 GENESEE AVE
425
LA JOLLA, CA, 920371224
Browse CA providers · Browse ZIP 92037
Phone
8584528467
Fax
8584528547
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in LA JOLLA, CA

Name Credential NPI
CLAIRE Y WISE MFT 1477565869
DR. E. VIRGINIA FOSTER PH.D. 1053417618
DR. MARY ANN SCHIFFMAN MFT 1780766204
MISS MAI IESAKA BA 1982868923
NINA A STARK LCSW,BCD 1861642100
CARRIE SHINSKE 1669786109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.