Individual provider · Type 1 NPI
Lisa Rist, MA, LPC-I
Professional Counselor · Mauldin, SC
NPI number
1073061610
Active
Practice location
400 South Main St Suite C
Mauldin, SC 29662
Fax (866) 808-0926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 6748 (SC) |
| Professional Counselor Primary | 101YP2500X | 6298 (SC) |
Professional Counselor: Definition to come...
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About NPI 1073061610
Lisa Rist, MA, LPC-I's National Provider Identifier is 1073061610, issued on Sep 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mauldin, SC. The record was last updated on Apr 30, 2019.