LISA PENN, CAC
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1093021214
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CAC1339 (LA) |
Frequently Asked Questions
NPI 1093021214 is the National Provider Identifier for LISA PENN, CAC, a Counselor - Addiction (Substance Use Disorder) provider located in Shreveport, LA. This NPI was enumerated on August 25, 2010.
LISA PENN, CAC practices at 1310 N HEARNE AVE, Shreveport, LA 71107.
Quick Facts
- NPI
- 1093021214
- Type
- Individual
- Enumerated
- Aug 25, 2010
- Last Updated
- Jul 21, 2022
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