Individual
MS. LISA KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
667 DELTONA BLVD., DELTONA, FL 32725
(888) 217-4124
Mailing address
667 DELTONA BLVD., DELTONA, FL 32725
(888) 217-4124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH 9801
FL
Other
Enumeration date
06/16/2010
Last updated
10/18/2010
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