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Lisa Douglas
Professional Counselor in Summerville, Pennsylvania
NPI 1588280085

Lisa Douglas is a Professional Counselor based in Summerville, PA and is specialized in Professional. Lisa Douglas practices in Summerville, PA. The NPI Number for Lisa Douglas is 1588280085 and holds a License No. PC012450 (Pennsylvania).

The current practice location address for Lisa Douglas is 2060 Duck Rd, Summerville, PA and can be reached out via phone at 814-715-5851.

Location: 2060 Duck Rd, Summerville, PA, 15864-6022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588280085
Provider Name
Lisa Douglas
Credential
Provider Entity Type
Individual
Gender
Female
Address
2060 Duck Rd, Summerville, PA, 15864-6022
Phone Number
814-715-5851
Fax Number
Provider Enumeration Date
06/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2060 Duck Rd
City
Summerville
State
Pennsylvania
Zip
15864-6022
Phone Number
814-715-5851
Fax Number
person
Provider Business Mailing Address Details
Address
2060 Duck Rd
City
Summerville
State
Pennsylvania
Zip
15864-6022
Phone Number
814-715-5851
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PC012450 (Pennsylvania)
Definition
Definition to come...
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