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General NPI Number Information
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NPI Number | 1295429678
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Entity Type | Individual
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Provider Name | LISA MARIE MUNOZ MS, LMHC, LCACA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 7341 GABLE ROAD
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City | MERRILLVILLE
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State | IN
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Zip | 46410-4634
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Country | US
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Telephone | 219-649-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 7853 TAFT ST
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5240
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Country | US
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Telephone | 219-649-1183
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87900071A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 88001992A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39005338A
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License Number State | IN
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