Individual
LISA MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4023 AMBASSADOR CAFFERY PKWY STE 507, LAFAYETTE, LA 70503-5268
(337) 284-0820
Mailing address
2509 JOHNSTON ST APT 8-2, LAFAYETTE, LA 70503-3205
(337) 371-9452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8347
LA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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