Individual
MS. LISA BOLUMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
432 COPPERFIELD BLVD NE, CONCORD, NC 28025-2426
(704) 785-8282
Mailing address
432 COPPERFIELD BLVD NE, CONCORD, NC 28025-2426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7565
NC
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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