Most Relevant Information
Provider Data
| NPI Number: | 1003501016 |
| Provider Name: | LISA THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 88439 |
Most Important Dates
| Enumeration Date: | 04/06/2023 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
200 HONEY LOCUST CV
LEANDER
TX
786414712
Practice Location Phone/Fax
| Phone: | 5127848529 |
| Fax: |
Provider Mailing Location
200 HONEY LOCUST CV
LEANDER
TX
786414712
Provider Mailing Phone/Fax
| Phone: | 5127848529 |
| Fax: |