Individual provider · Type 1 NPI
Lisa Renee Boule, L. P. C.
Professional Counselor · Dallas, TX
NPI number
1871767046
Active
Practice location
3715 Congress Ave
Dallas, TX 75219-4809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 60912 (TX) |
Professional Counselor: Definition to come...
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About NPI 1871767046
Lisa Renee Boule, L. P. C.'s National Provider Identifier is 1871767046, issued on Apr 17, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Apr 17, 2008.