Individual provider · Type 1 NPI
Lisa L. Grey, LCAC
Addiction (Substance Use Disorder) Counselor · Lebo, KS
NPI number
1801290622
Active
Practice location
2611 Fauna Rd
Lebo, KS 66856
Fax (620) 256-9000
Mailing address
PO Box 106
Lebo, KS 66856-0106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 605 (KS) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1801290622
Lisa L. Grey, LCAC's National Provider Identifier is 1801290622, issued on Oct 22, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lebo, KS. The record was last updated on Nov 7, 2019.