Individual
LISA TERESITA GABOUREL-DOCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
246YR1600X
Registered Record Administrator
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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