Lisa Marie Little, LPC
Counselor, Professional in La Grange, TX. Individual provider (NPI-1).
NPI number1457039554
StatusActive
Last updated in NPPESJul 7, 2023
Details
- NPI
- 1457039554
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Little
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 7, 2023
- Certification date
- Jun 15, 2022
- Last updated
- Jul 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 78649 | TX | Yes |
Practice location
335 Rose Mayer LoopLa Grange, TX 78945-1248
Phone 979-702-0078
Mailing address
335 Rose Mayer LoopLa Grange, TX 78945-1248
Phone 979-702-0078
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