Individual
LISA A HAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, NCSP, LPC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2912
(352) 265-0301
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
(352) 273-9054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC004674
PA
103T00000X
Psychologist
Primary
PS016927
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS016927
DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATION AFFAIRS
PA
Enumeration date
11/02/2007
Last updated
11/20/2024
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