Provider Demographics
NPI:1497149660
Name:HAAS, LISA (BA)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:HAAS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 EAST RD
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-9720
Mailing Address - Country:US
Mailing Address - Phone:413-652-5077
Mailing Address - Fax:
Practice Address - Street 1:4 EAST RD
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-9720
Practice Address - Country:US
Practice Address - Phone:413-652-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor