Individual
MRS. LISA MARIE VESPICO-MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAADC, SAP
Contact information
Practice address
293 UNIVERSITY PKWY, BLUFFTON, SC 29909-6072
(484) 577-3760
(843) 208-6168
Mailing address
293 UNIVERSITY PKWY, BLUFFTON, SC 29909-6072
(610) 763-2411
(843) 208-6168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7624
PA
101YP2500X
Professional Counselor
Primary
8502
SC
101YP2500X
Professional Counselor
PC008250
PA
Other
Enumeration date
11/27/2017
Last updated
02/22/2024
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