Individual
MS. LISA RENEE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
251 S WILLOW AVE STE 8, COOKEVILLE, TN 38501-3100
(931) 537-7485
Mailing address
251 S WILLOW AVE STE 8, COOKEVILLE, TN 38501-3100
(931) 537-7485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000002091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511295
—
TN
Enumeration date
01/29/2007
Last updated
01/09/2024
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