Individual
MS. LISA K PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 JACKSON ST, ROANOKE RAPIDS, NC 27870
(252) 537-6164
(252) 537-9199
Mailing address
PO BOX 2161, ROANOKE RAPIDS, NC 27870
(252) 537-6164
(252) 537-9199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103152
—
NC
Enumeration date
07/24/2006
Last updated
07/12/2023
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