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Contact Information

LISA FRACICA, MA, LCPC, LGPAT
2511 STADIUM DR
CHARLESTON, SC29406-6606
 Phone: 816-752-6631
 Fax: 844-919-1630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for LISA FRACICA · (Female)

NPI # 1245852946
Status Active
Credentials MA, LCPC, LGPAT
Entity Individual
Enumeration date 05/15/2020
Last updated 10/31/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # ATG239
  • MD License # LC12493
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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