Individual
LISA MICHELLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCSP
Contact information
Practice address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 637-7345
Mailing address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 561-3803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TS0200X
School Psychologist
Primary
1406035201
NY
Other
Enumeration date
04/27/2009
Last updated
10/28/2020
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