Doctor Name: | MS. LISA A. LENARD |
NPI Number: | 1497819957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 6401008904 |
Business Practice Address: | 177 N Barlow Rd Harrisville, MI - 487409607 |
Business Phone Number: | 9897363020 |
Business Fax Number: | 9897368278 |
Mailing Address: | Po Box 279, LINCOLN |
State: | MI |
Postal Code: | 487420279 |
Phone Number: | 9897363020 |
Fax Number: | 9897368278 |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401008904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |