Individual
LISA MARIE MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LCACA
Contact information
Practice address
7341 GABLE ROAD, MERRILLVILLE, IN 46410-4634
(219) 649-1183
Mailing address
7853 TAFT ST, MERRILLVILLE, IN 46410-5240
(219) 649-1183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87900071A
IN
101YM0800X
Mental Health Counselor
Primary
39005338A
IN
101YM0800X
Mental Health Counselor
88001992A
IN
Other
Enumeration date
06/07/2023
Last updated
02/19/2025
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