Individual
MRS. LISA MARIE PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
210 E GRUBBS ST, ENTERPRISE, AL 36330-2646
(912) 660-5712
Mailing address
1 REINDEER TRCE, ENTERPRISE, AL 36330-8127
(912) 660-5712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5224
NC
101YP2500X
Professional Counselor
Primary
3968
AL
Other
Enumeration date
06/15/2009
Last updated
07/31/2020
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