person
Lisa Fadorsen, LMHC
Mental Health Counselor in Bradenton, Florida
NPI 1275903288

Lisa Fadorsen is a Mental Health Counselor based in Bradenton, FL and is specialized in Mental Health. Lisa Fadorsen practices in Bradenton, FL and has the professional credentials of LMHC. The NPI Number for Lisa Fadorsen is 1275903288 and holds a License No. E1200017 (Florida).

The current practice location address for Lisa Fadorsen is 2020 26Th Ave E, Bradenton, FL and can be reached out via phone at 941-782-4600 and via fax at 941-782-4601.

Location: 2020 26Th Ave E, Bradenton, FL, 34206-9478
person
Provider Profile Details
NPI Number
1275903288
Provider Name
Lisa Fadorsen
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
2020 26Th Ave E, Bradenton, FL, 34206-9478
Phone Number
941-782-4600
Fax Number
941-782-4601
Provider Enumeration Date
10/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 26Th Ave E
City
State
Zip
34208-7753
Phone Number
941-782-4600
Fax Number
941-782-4601
person
Provider Business Mailing Address Details
Address
2020 26Th Ave E
City
State
Zip
34208-7753
Phone Number
941-782-4600
Fax Number
941-782-4601
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PMH1252 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
E1200017 (Ohio)
Definition
Definition to come...
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