Individual
MRS. LISA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
3921 GLADMAN WAY, LEXINGTON, KY 40514-4028
(606) 307-8399
Mailing address
3921 GLADMAN WAY, LEXINGTON, KY 40514-4028
(606) 307-8399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1599
KY
101YM0800X
Mental Health Counselor
Primary
1599
KY
101YP2500X
Professional Counselor
1599
KY
Other
Enumeration date
12/05/2013
Last updated
10/19/2023
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