Individual provider · Type 1 NPI

Lisa Marie Justice

Addiction (Substance Use Disorder) Counselor · Lake City, FL

NPI number 1114561008 Active

Practice location

439 SW Michigan St
Lake City, FL 32025-0440

Call (386) 487-0800 Map

Mailing address

4300 SW 13th St
Gainesville, FL 32608-4006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCNA156763 (FL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114561008

Lisa Marie Justice's National Provider Identifier is 1114561008, issued on Nov 4, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake City, FL. The record was last updated on Nov 4, 2019.