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NPI Code Detail

MEDICARE: LISA M. WOLFINBARGER LPCC

MEDICARE: LISA M. WOLFINBARGER LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor164499KY
2101YM0800XMental Health Counselor164499KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235575804
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA M. WOLFINBARGER LPCC
Provider Business Mailing Address
First Line : 104 REYNOLDS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1177
Country : US
Telephone Number : 270-678-4801
Fax Number : 270-678-3866
Provider Business Practice Location Address
First Line : 104 REYNOLDS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-1177
Country : US
Telephone Number : 270-678-4801
Fax Number : 270-678-3866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2013
Last Update Date : 04/09/2026

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Directions to “ LISA M. WOLFINBARGER LPCC” Practice Location

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