Individual provider · Type 1 NPI

Lisa Ellen Hayse, MHP

Mental Health Counselor · Mount Vernon, IL

NPI number 1972091502 Active

Practice location

4110 N Water Tower Pl
Mount Vernon, IL 62864-6295

Mailing address

9256 E Heights Rd
Mount Vernon, IL 62864-7368

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972091502

Lisa Ellen Hayse, MHP's National Provider Identifier is 1972091502, issued on Apr 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, IL. The record was last updated on Apr 30, 2018.