Lisa Bowser

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Danville, VA

NPI 1548033764 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1548033764
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
0709025398 (VA)
Practice address
1555 Meadowview Dr
Danville, VA 24541-7351
Phone
(434) 685-1570
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0709025398VAMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 0709025398 VA Yes

Addresses

Primary practice location

1555 Meadowview Dr
Danville, VA 24541-7351

Mailing address

1555 Meadowview Dr
Danville, VA 24541-7351
Phone (434) 685-1570

Other providers in Danville, VA

All providers in Danville, VA · Addiction (Substance Use Disorder) Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.