Individual
LISA-ANN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC4084
ME
101YP2500X
Professional Counselor
Primary
CC2990
ME
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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