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Dr. Susan Lea Lilly, PHD,LPC-S
Professional Counselor in Lubbock, Texas
NPI 1699817809

Susan Lea Lilly is a Professional Counselor based in Lubbock, TX and is specialized in Professional. Susan Lea Lilly practices in Lubbock, TX and has the professional credentials of PHD,LPC-S. The NPI Number for Susan Lea Lilly is 1699817809 and holds a License No. 12373 (Texas).

The current practice location address for Susan Lea Lilly is 3303 67Th St Ste 112, Lubbock, TX and can be reached out via phone at 806-549-1474.

Location: 3303 67Th St Ste 112, Lubbock, TX, 79424-8207
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Provider Profile Details
NPI Number
1699817809
Provider Name
Susan Lea Lilly
Credential
PHD,LPC-S
Provider Entity Type
Individual
Gender
Female
Address
3303 67Th St Ste 112, Lubbock, TX, 79424-8207
Phone Number
806-549-1474
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2601LC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
3303 67Th St Ste 112
City
State
Zip
79413-6132
Phone Number
806-549-1474
Fax Number
person
Provider Business Mailing Address Details
Address
3303 67Th St Ste 112
City
State
Zip
79413-6132
Phone Number
806-549-1474
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12373 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12373 (Texas)
Definition
Definition to come...
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