Individual
LISA FOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
5317 HIGHGATE DR, DURHAM, NC 27713-8403
(919) 493-1975
Mailing address
5317 HIGHGATE DR, DURHAM, NC 27713-8403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A13398
NC
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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