Lisa Fedewa is a Counselor based in Middleburg, FL. Lisa Fedewa practices in Daytona Beach, FL. The NPI Number for Lisa Fedewa is 1265776454 and holds a License No. (Florida).
The current practice location address for Lisa Fedewa is 259 Bill France Blvd, Daytona Beach, FL and can be reached out via phone at 904-586-6560.
Location: 259 Bill France Blvd, Daytona Beach, FL, 32068-9095
Provider Profile Details
NPI Number
1265776454
Provider Name
Lisa Fedewa
Credential
Provider Entity Type
Individual
Gender
Female
Address
259 Bill France Blvd, Daytona Beach, FL, 32068-9095
Phone Number
904-586-6560
Fax Number
Provider Enumeration Date
11/12/2012
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
259 Bill France Blvd
City
State
Zip
32114-1316
Phone Number
904-586-6560
Fax Number
Provider Business Mailing Address Details
Address
259 Bill France Blvd
City
State
Zip
32114-1316
Phone Number
904-586-6560
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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