Individual provider · Type 1 NPI

Lisa A. Locke, B.S.

Mental Health Counselor · Grants Pass, OR

NPI number 1548535339 Active

Practice location

210 Tacoma St
Grants Pass, OR 97526-9370

Mailing address

715 SW Ramsey Ave
Grants Pass, OR 97527-5500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1548535339

Lisa A. Locke, B.S.'s National Provider Identifier is 1548535339, issued on Mar 13, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Mar 13, 2012.