| Lisa Tetreault Lmhc | |
|
2200 Nw Corporate Blvd Ste 308 Boca Raton FL 33431-7307 | |
| (954) 821-7127 | |
| Not Available |
| Full Name | Lisa Tetreault Lmhc |
|---|---|
| Speciality | Counselor |
| Location | 2200 Nw Corporate Blvd Ste 308, Boca Raton, Florida |
| Authorized Official Name and Position | Lisa Tetreualt (OWNER) |
| Authorized Official Contact | 9548217127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Tetreault Lmhc 2200 Nw Corporate Blvd Ste 308 Boca Raton FL 33431-7307 Ph: (954) 821-7127 | Lisa Tetreault Lmhc 2200 Nw Corporate Blvd Ste 308 Boca Raton FL 33431-7307 Ph: (954) 821-7127 |
| NPI Number | 1770131435 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 08/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770131435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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