person
Lisa Reidsema, LMHC/MHC/LPC
Mental Health Counselor in Providence, Rhode Island
NPI 1649535261

Lisa Reidsema is a Mental Health Counselor based in Providence, RI and is specialized in Mental Health. Lisa Reidsema practices in Providence, RI and has the professional credentials of LMHC/MHC/LPC. The NPI Number for Lisa Reidsema is 1649535261 and holds a License No. MH 12785 (Rhode Island).

The current practice location address for Lisa Reidsema is 189 Governor St, Providence, RI and can be reached out via phone at 401-484-0244 and via fax at 855-239-0365.

Location: 189 Governor St, Providence, RI, 02906
person
Provider Profile Details
NPI Number
1649535261
Provider Name
Lisa Reidsema
Credential
LMHC/MHC/LPC
Provider Entity Type
Individual
Gender
Female
Address
189 Governor St, Providence, RI, 02906
Phone Number
401-484-0244
Fax Number
855-239-0365
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012963700 05 FL
institution
Provider Business Practice Location Address Details
Address
189 Governor St
City
State
Zip
02906
Phone Number
401-484-0244
Fax Number
855-239-0365
person
Provider Business Mailing Address Details
Address
189 Governor St
City
State
Zip
02906
Phone Number
401-484-0244
Fax Number
855-239-0365
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH 12785 (Florida)
Definition
Definition to come...
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