Individual
LISA VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4588 E INDIAN WELLS DR, CHANDLER, AZ 85249-7071
(480) 485-7892
Mailing address
4588 E INDIAN WELLS DR, CHANDLER, AZ 85249-7071
(480) 485-7892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19731
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992490692
—
AZ
01
—
LPC-19731
STATE OF AZ
AZ
Enumeration date
04/07/2023
Last updated
06/18/2024
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