Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 64217 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1023261633 |
---|---|
Provider Name | Miss Lisa Lanette Price |
First Address | Houston, TX 77054-2653 |
Second Address | Houston, TX 77054-2653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 28/10/2008 |