Taryn Nicole Lisa

NPI #1245053180 in Monroe, New York

Provider Information

NPI Number
1245053180
Entity Type
Individual
Name
Taryn Nicole Lisa
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Nov 7, 2024
Last Updated
Nov 7, 2024

Practice Location

Address
360 STATE ROUTE 17M STE 4
City
Monroe
ZIP Code
10950-3444
Phone
(845) 547-0479

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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