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Individual

DR. LISA KRISTINE SAMUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D, LAC, MAC, ICGC

Contact information

Practice address
2355 HIGH LONESOME TRL, LAFAYETTE, CO 80026-9397
(303) 827-1056
Mailing address
2355 HIGH LONESOME TRL, LAFAYETTE, CO 80026-9397
(303) 827-1056

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002511
CO

Other

Enumeration date
05/28/2026
Last updated
05/28/2026
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