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Lisa Wallace, LCSW,LCDC
Addiction (Substance Use Disorder) Counselor in Georgetown, Texas
NPI 1760958458

Lisa Wallace is an Addiction (Substance Use Disorder) Counselor based in Georgetown, TX and is specialized in Addiction (Substance Use Disorder). Lisa Wallace practices in Georgetown, TX and has the professional credentials of LCSW,LCDC. The NPI Number for Lisa Wallace is 1760958458 and holds a License No. 58545 (Texas).

The current practice location address for Lisa Wallace is 2903 Gabriel View Dr, Georgetown, TX and can be reached out via phone at 512-869-9254 and via fax at 512-863-6833.

Location: 2903 Gabriel View Dr, Georgetown, TX, 78628-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760958458
Provider Name
Lisa Wallace
Credential
LCSW,LCDC
Provider Entity Type
Individual
Gender
Female
Address
2903 Gabriel View Dr, Georgetown, TX, 78628-2707
Phone Number
512-869-9254
Fax Number
512-863-6833
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2903 Gabriel View Dr
City
Georgetown
State
Texas
Zip
78628-2707
Phone Number
512-869-9254
Fax Number
512-863-6833
person
Provider Business Mailing Address Details
Address
2903 Gabriel View Dr
City
Georgetown
State
Texas
Zip
78628-2707
Phone Number
512-869-9254
Fax Number
512-863-6833
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
12442 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
58545 (Texas)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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