Individual
LISA HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
630 RICHLAND AVE, BATON ROUGE, LA 70806-5766
(225) 931-9718
Mailing address
643 CAROL MARIE DR APT 1, BATON ROUGE, LA 70806-5611
(225) 931-9718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6919
LA
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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