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Individual

MRS. LISA ANNETTE DRIVER

Active
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Individual

MRS. LISA ANNETTE DRIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS20063
NC
101YP2500X
Professional Counselor
5457
NC
1041C0700X
Clinical Social Worker
Primary
C011231
NC

Other

Enumeration date
09/25/2006
Last updated
06/28/2019
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