Individual
MS. LISA K. SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
205 W JEFFERSON BLVD, SUITE 504, SOUTH BEND, IN 46601-1828
(574) 288-7633
Mailing address
205 W JEFFERSON BLVD, SUITE 504, SOUTH BEND, IN 46601-1828
(574) 288-7633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000641
IN
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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