MS. Lisa Moxley, LPC

NPI #1053489666 in Melbourne, Arkansas

Provider Information

NPI Number: 1053489666
Entity Type: Individual
Name: MS. Lisa Moxley, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 1, 2006
Last Updated: Apr 8, 2009

Practice Location

Address: 1109 E MAIN ST
City: Melbourne
State: Arkansas
ZIP Code: 72556
Phone: (870) 368-4397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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