person
Lisa L. Grey, LCAC
Addiction (Substance Use Disorder) Counselor in Lebo, Kansas
NPI 1801290622

Lisa L. Grey is an Addiction (Substance Use Disorder) Counselor based in Lebo, KS and is specialized in Addiction (Substance Use Disorder). Lisa L. Grey practices in Lebo, KS and has the professional credentials of LCAC. The NPI Number for Lisa L. Grey is 1801290622 and holds a License No. 605 (Kansas).

The current practice location address for Lisa L. Grey is 2611 Fauna Rd, Lebo, KS and can be reached out via phone at 620-757-1059 and via fax at 620-256-9000.

Location: 2611 Fauna Rd, Lebo, KS, 66856-0106
person
Provider Profile Details
NPI Number
1801290622
Provider Name
Lisa L. Grey
Credential
LCAC
Provider Entity Type
Individual
Gender
Female
Address
2611 Fauna Rd, Lebo, KS, 66856-0106
Phone Number
620-757-1059
Fax Number
620-256-9000
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12691970 01 KS CAQH
institution
Provider Business Practice Location Address Details
Address
2611 Fauna Rd
City
State
Zip
66856
Phone Number
620-757-1059
Fax Number
620-256-9000
person
Provider Business Mailing Address Details
Address
2611 Fauna Rd
City
State
Zip
66856
Phone Number
620-757-1059
Fax Number
620-256-9000
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
605 (Kansas)
Definition
Definition to come...
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