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Individual

LISA PAULSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
2600 K AVE, SUITE 102, PLANO, TX 75074-5306
(972) 423-8727
Mailing address
2600 K AVE, SUITE 102, PLANO, TX 75074-5306
(972) 423-8727

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11806
TX

Other

Enumeration date
12/12/2014
Last updated
12/12/2014
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