Lisa Clark, BSW
Counselor, Mental Health in New Orleans, LA. Individual provider (NPI-1).
NPI number1154776912
StatusActive
Last updated in NPPESApr 29, 2016
Details
- NPI
- 1154776912
- Entity type
- Individual (NPI-1)
- Name
- Lisa Clark
- Credential
- BSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2016
- Last updated
- Apr 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | LA | Yes |
Practice location
8722 Heaton StNew Orleans, LA 70118-2616
Phone 504-577-6983
Mailing address
8722 Heaton StNew Orleans, LA 70118-2616
Phone 504-577-6983
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