Lisa L. Grey, LCAC

NPI #1801290622 in Lebo, Kansas

Provider Information

NPI Number: 1801290622
Entity Type: Individual
Name: Lisa L. Grey, LCAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LCAC
Enumeration Date: Oct 22, 2014
Last Updated: Nov 7, 2019

Practice Location

Address: 2611 FAUNA RD
City: Lebo
State: Kansas
ZIP Code: 66856
Phone: (620) 757-1059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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