Individual
LISA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
8722 HEATON ST, NEW ORLEANS, LA 70118-2616
(504) 577-6983
Mailing address
8722 HEATON ST, NEW ORLEANS, LA 70118-2616
(504) 577-6983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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