Nunnally, Lisa A
Nunnally, Lisa A is an individual health care provider with primary practice located at 5373 Gruber Rd Building C8837, Fort Bragg NC 28310-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Nunnally, Lisa A can be contacted via phone (910) 908-6011.Contact Information
Primary practice address
5373 Gruber Rd Building C8837
Fort Bragg NC 28310-0001
Phone: (910) 908-6011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10645 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 62885 | Texas |
Profile Details
| NPI number | 1720319395 |
|---|---|
| LBN Legal business name | Nunnally, Lisa A |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2010 |
| Last updated | Jan 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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