Lisa M Davidson, LCDC12318
NPI #1386223436 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1386223436
- Entity Type
- Individual
- Name
- Lisa M Davidson, LCDC12318
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- LCDC12318
- Enumeration Date
- Apr 6, 2021
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 26229 N CRANES MILL RD
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-1957
- Phone
- (830) 935-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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