NPI Profile for LISA FRACICA in CHARLESTON, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Art Therapist |
221700000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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LISA FRACICA
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