Individual
LEA S LOVOLD
Active
Individual
LEA S LOVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12079
NC
101YM0800X
Mental Health Counselor
5898
ID
101YM0800X
Mental Health Counselor
A12079
NC
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
07/17/2018
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