Individual
MS. LISA ANN FIRULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
903 NORTHEAST DR, SUITE 301, DAVIDSON, NC 28036-7416
(704) 941-9419
Mailing address
PO BOX 1467, CORNELIUS, NC 28031-1467
(704) 941-9419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102348
—
NC
Enumeration date
05/17/2006
Last updated
12/17/2009
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