Individual
JOANNE LISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCA
Contact information
Practice address
800 W WILLIAMS ST STE 280, APEX, NC 27502-5203
(919) 504-5126
(919) 289-1735
Mailing address
6017 HOPE LN, FUQUAY VARINA, NC 27526-9417
(609) 933-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A8602
NC
Other
Enumeration date
02/19/2013
Last updated
09/26/2019
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