Lisa Douglas

NPI #1588280085 in Summerville, Pennsylvania

Provider Information

NPI Number: 1588280085
Entity Type: Individual
Name: Lisa Douglas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 2060 DUCK RD
City: Summerville
State: Pennsylvania
ZIP Code: 15864-6022
Phone: (814) 715-5851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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