institution
Lisa Joan Reardon Licsw
Adult Mental Health Clinic/Center in Washington, District of Columbia
NPI 1437390267

Lisa Joan Reardon Licsw is an Adult Mental Health Clinic/Center based in Washington, DC and is specialized in Adult Mental Health. Lisa Joan Reardon Licsw practices in Washington, DC. The NPI Number for Lisa Joan Reardon Licsw is 1437390267 and holds a License No. LC301995 (District of Columbia).

The current practice location address for Lisa Joan Reardon Licsw is 1325 Quincy St Ne, Washington, DC and can be reached out via phone at 202-526-4445 and via fax at 202-526-7401.

Location: 1325 Quincy St Ne, Washington, DC, 20017-2615
institution
Provider Profile Details
NPI Number
1437390267
Provider Name
Lisa Joan Reardon Licsw
Credential
Provider Entity Type
Organization
Address
1325 Quincy St Ne, Washington, DC, 20017-2615
Phone Number
202-526-4445
Fax Number
202-526-7401
Provider Enumeration Date
03/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6510-0001 01 DC BLUECROSS BLUESHIELD
116815 01 DC KAISER PERMANENTE
institution
Provider Business Practice Location Address Details
Address
1325 Quincy St Ne
City
State
Zip
20017-2615
Phone Number
202-526-4445
Fax Number
202-526-7401
person
Provider Business Mailing Address Details
Address
1325 Quincy St Ne
City
State
Zip
20017-2615
Phone Number
202-526-4445
Fax Number
202-526-7401
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
LC301995 (District of Columbia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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