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Lisa Michele Creath, LPC
Professional Counselor in Overland, Missouri
NPI 1518425156

Lisa Michele Creath is a Professional Counselor based in Overland, MO and is specialized in Professional. Lisa Michele Creath practices in Overland, MO and has the professional credentials of LPC. The NPI Number for Lisa Michele Creath is 1518425156 and holds a License No. 2016005837 (Missouri).

The current practice location address for Lisa Michele Creath is 10000 Tam O Shanter Dr, Overland, MO and can be reached out via phone at 314-324-0980.

Location: 10000 Tam O Shanter Dr, Overland, MO, 63114-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518425156
Provider Name
Lisa Michele Creath
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
10000 Tam O Shanter Dr, Overland, MO, 63114-1532
Phone Number
314-324-0980
Fax Number
Provider Enumeration Date
03/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016005837 01 MO PROFESSIONAL COUNSELING LICENSE
institution
Provider Business Practice Location Address Details
Address
10000 Tam O Shanter Dr
City
Overland
State
Missouri
Zip
63114-1532
Phone Number
314-324-0980
Fax Number
person
Provider Business Mailing Address Details
Address
10000 Tam O Shanter Dr
City
Overland
State
Missouri
Zip
63114-1532
Phone Number
314-324-0980
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2016005837 (Missouri)
Definition
Definition to come...
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