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Lisa Rene Willmon, LPC-S
Mental Health Counselor in Bastrop, Texas
NPI 1659762342

Lisa Rene Willmon is a Mental Health Counselor based in Bastrop, TX and is specialized in Mental Health. Lisa Rene Willmon practices in Bastrop, TX and has the professional credentials of LPC-S. The NPI Number for Lisa Rene Willmon is 1659762342 and holds a License No. 66261 (Texas).

The current practice location address for Lisa Rene Willmon is 489 Agnes St # 408, Bastrop, TX and can be reached out via phone at 877-800-5722.

Location: 489 Agnes St # 408, Bastrop, TX, 78602-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659762342
Provider Name
Lisa Rene Willmon
Credential
LPC-S
Provider Entity Type
Individual
Gender
Female
Address
489 Agnes St # 408, Bastrop, TX, 78602-2156
Phone Number
877-800-5722
Fax Number
Provider Enumeration Date
02/17/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
66261 01 TX TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
489 Agnes St # 408
City
Bastrop
State
Texas
Zip
78602-2156
Phone Number
877-800-5722
Fax Number
person
Provider Business Mailing Address Details
Address
489 Agnes St # 408
City
Bastrop
State
Texas
Zip
78602-2156
Phone Number
877-800-5722
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
66261 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
66261 (Texas)
Definition
Definition to come...
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