Individual
LISA LOTUS LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1600 SLEATER KINNEY RD SE, LACEY, WA 98503-2500
(360) 438-5000
(360) 438-7785
Mailing address
1600 SLEATER KINNEY RD SE, LACEY, WA 98503-2500
(360) 438-5000
(360) 438-7785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC60789696
WA
1041C0700X
Clinical Social Worker
Primary
SC60789696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0666889
—
WA
Enumeration date
09/18/2018
Last updated
03/08/2024
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