Individual
MRS. LISA LYNN COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
100 SAW MILL RD STE 3200, LAFAYETTE, IN 47905-5597
(764) 742-4848
(765) 477-9905
Mailing address
100 SAW MILL ROAD, SUITE 3200, LAFAYETTE, IN 47902-1186
(764) 742-4848
(765) 477-9905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
39000589A
IN
Other
Enumeration date
04/27/2007
Last updated
07/09/2007
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