Individual
LISA K BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1405 RUCKER BLVD, ENTERPRISE, AL 36330-2236
(334) 417-0212
(334) 417-0213
Mailing address
1405 RUCKER BLVD, ENTERPRISE, AL 36330-2236
(334) 417-0212
(334) 417-0213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
04998
AL
101YP2500X
Professional Counselor
Primary
04998
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001428100
—
FL
Enumeration date
02/01/2010
Last updated
08/18/2024
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