Individual
MRS. LISA A BURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CADCII
Contact information
Practice address
134 SE 5TH AVE STE C, HILLSBORO, OR 97123-4095
(503) 621-8735
(503) 214-8911
Mailing address
134 SE 5TH AVE STE C, HILLSBORO, OR 97123-4095
(503) 621-8735
(503) 214-8911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02-R-13
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457404410
INNER JOURNEY HEALING ARTS CENTER
OR
05
—
278095
—
OR
Enumeration date
11/07/2008
Last updated
03/09/2023
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