Individual
LISA RAE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1830 DESTINY LN, SUITE 107, BOWLING GREEN, KY 42104-1087
(270) 846-3222
(270) 846-3228
Mailing address
1830 DESTINY LN, SUITE 107, BOWLING GREEN, KY 42104-1087
(270) 846-3222
(270) 846-3228
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
KY-07-005
KY
Other
Enumeration date
02/05/2009
Last updated
12/04/2012
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