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Individual

LISA MARIE LUCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3171 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4784
(317) 544-3520
Mailing address
PO BOX 242, LEBANON, IN 46052-0242
(317) 544-3520

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001237A
IN
106H00000X
Marriage & Family Therapist
Primary
35001724A
IN
106H00000X
Marriage & Family Therapist
47864
CA

Other

Enumeration date
03/26/2007
Last updated
11/15/2011
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