Individual
LISA PERLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(952) 435-8814
(952) 435-7705
Mailing address
14300 NICOLLET CT, SUITE 130, BURNSVILLE, MN 55306-4501
(952) 435-8814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00660
MN
Other
Enumeration date
11/07/2013
Last updated
05/15/2015
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