Organization
LISA TETREAULT LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TETREUALT LMHC (OWNER)
(954) 821-7127
Entity
Organization
Contact information
Practice address
2200 NW CORPORATE BLVD STE 308, BOCA RATON, FL 33431-7307
(954) 821-7127
Mailing address
2200 NW CORPORATE BLVD STE 308, BOCA RATON, FL 33431-7307
(954) 821-7127
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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