Individual
LISA L PHILIPPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 US HIGHWAY 31 S, DECATUR, AL 35603-1644
(256) 355-6105
Mailing address
1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL 35601-4305
(256) 355-6105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2743
AL
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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