Individual
MS. LISA ROBIN SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S; LPCC; CATP;CCT
Contact information
Practice address
5460 ST. RT. 131, HICKORY, KY 42051
(270) 992-0580
Mailing address
5460 ST. RT. 131, HICKORY, KY 42051
(270) 992-0580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261241
KY
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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