Individual
LISA GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 TUPELO ST, LAKE CHARLES, LA 70601-7369
(337) 302-0998
Mailing address
2423 TUPELO ST, LAKE CHARLES, LA 70601-7369
(337) 302-0998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11290
LA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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