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Individual
LISA ELLERMAN
Active
Individual
LISA ELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
75916
TX
101YM0800X
Mental Health Counselor
75916
VT
101YP2500X
Professional Counselor
Primary
75916
TX
Other
Enumeration date
11/03/2018
Last updated
09/23/2021
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