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Individual
LISA CELOSSE
Active
Individual
LISA CELOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0091031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21353336
—
NM
01
—
NM00JV87
BLUECROSS BLUESHIELD
NM
Enumeration date
10/12/2006
Last updated
08/06/2008
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