MRS. Lisa Rene Gentry, MA, NCC, LPC

NPI #1649545963 in Pekin, Illinois

Provider Information

NPI Number
1649545963
Entity Type
Individual
Name
MRS. Lisa Rene Gentry, MA, NCC, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA, NCC, LPC
Enumeration Date
Mar 20, 2012
Last Updated
Mar 20, 2012

Practice Location

Address
901 BROADWAY ST
City
Pekin
ZIP Code
61554-4768
Phone
(309) 353-2079

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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