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Individual

DR. LISA MACAPITOGUATUNANICHE NYABINGHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
50 E MARKET ST, HALLAM, PA 17406-1100
(336) 988-7870
(678) 807-5415
Mailing address
50 E MARKET ST, HALLAM, PA 17406-1100
(336) 988-7870
(678) 807-5415

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
23QMHPC001345
OR
101YP1600X
Pastoral Counselor
Primary
GA

Other

Enumeration date
04/02/2019
Last updated
07/26/2024
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