Individual
LISA CUNNINGHAM LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-LPC
Contact information
Practice address
4093 SUMMERHILL SQ, TEXARKANA, TX 75503-2768
(580) 612-6541
Mailing address
4009 COLORADO ST, TEXARKANA, TX 75503-2724
(580) 612-6541
(580) 298-9958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111200A
—
OK
05
—
200484660B
—
OK
Enumeration date
05/09/2013
Last updated
12/03/2018
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