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Lisa K Carlisle
Mental Health Counselor in Centralia, Washington
NPI 1851060297

Lisa K Carlisle is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Lisa K Carlisle practices in Centralia, WA. The NPI Number for Lisa K Carlisle is 1851060297 and holds a License No. (Washington).

The current practice location address for Lisa K Carlisle is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-350-8119.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851060297
Provider Name
Lisa K Carlisle
Credential
Provider Entity Type
Individual
Gender
Female
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-350-8119
Fax Number
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-350-8119
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-350-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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