Individual
LISA CHRISTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1257 E WALNUT ST, #1, CARBONDALE, IL 62901-5002
(618) 351-9700
(618) 351-9701
Mailing address
103 N GORDON LN, APT. A, CARBONDALE, IL 62901-1985
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178008926
IL
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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