Individual
LISA ERNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
346 N MAIN ST, POPLAR BLUFF, MO 63901-5153
(573) 785-9549
(573) 785-4815
Mailing address
346 N MAIN ST, POPLAR BLUFF, MO 63901-5153
(573) 785-9549
(573) 785-4815
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002798
MO
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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