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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA DOUGLAS

Active Sole Proprietor

LISA DOUGLAS is a Professional Counselor healthcare provider located in SUMMERVILLE, Pennsylvania. NPI 1588280085 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SUMMERVILLE, PA

Registration Details

NPI Number
1588280085
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2020 (6.1372337069345 yrs)
Last Updated
Jun 19, 2020
License
PC012450 (PA)
Sole Proprietor
Yes

Practice Information

Address
2060 DUCK RD
SUMMERVILLE, PA, 158646022
Browse PA providers · Browse ZIP 15864
Phone
8147155851
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.