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Lisa M Davidson, LCDC12318
Counselor in Canyon Lake, Texas
NPI 1386223436

Lisa M Davidson is a Counselor based in Canyon Lake, TX. Lisa M Davidson practices in Canyon Lake, TX and has the professional credentials of LCDC12318. The NPI Number for Lisa M Davidson is 1386223436 and holds a License No. 12318 (Texas).

The current practice location address for Lisa M Davidson is 26229 N Cranes Mill Rd, Canyon Lake, TX and can be reached out via phone at 830-935-2800.

Location: 26229 N Cranes Mill Rd, Canyon Lake, TX, 78133-1957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386223436
Provider Name
Lisa M Davidson
Credential
LCDC12318
Provider Entity Type
Individual
Gender
Female
Address
26229 N Cranes Mill Rd, Canyon Lake, TX, 78133-1957
Phone Number
830-935-2800
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37690446 01 TX DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
26229 N Cranes Mill Rd
City
Canyon Lake
State
Texas
Zip
78133-1957
Phone Number
830-935-2800
Fax Number
person
Provider Business Mailing Address Details
Address
26229 N Cranes Mill Rd
City
Canyon Lake
State
Texas
Zip
78133-1957
Phone Number
830-935-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12318 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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