Individual
LISA BARUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBHWC
Contact information
Practice address
781 CRANDON BLVD APT 803, KEY BISCAYNE, FL 33149-2546
(917) 783-1081
Mailing address
781 CRANDON BLVD APT 803, KEY BISCAYNE, FL 33149-2546
(917) 783-1081
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3255908
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172582
LMSW
NY
01
—
A-3255980
NBHWC
—
Enumeration date
02/06/2023
Last updated
02/06/2023
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