Individual
LISA DECIANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
249 E NC HIGHWAY 54, SUITE 320, DURHAM, NC 27713-7512
(919) 753-1080
(919) 753-1089
Mailing address
PO BOX 278, ROLESVILLE, NC 27571-0278
(401) 486-8357
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
12/02/2015
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