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1932400405
LISA D BAUSELL
JOHNSON CITY, TN
NPI
1932400405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 1471)
Enumeration Date
2010-11-15
Last Update Date
2024-02-20
Business Address
Ms. LISA D BAUSELL LPC, CEAP
701 MED TECH PKWY STE 201
JOHNSON CITY, TN 37604-2365
Phone number: 423-283-7302
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Mailing Address
Ms. LISA D BAUSELL LPC, CEAP
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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