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Ms. Lisa M Street
Mental Health Counselor in Martinsville, Virginia
NPI 1679349781

Lisa M Street is a Mental Health Counselor based in Martinsville, VA and is specialized in Mental Health. Lisa M Street practices in Martinsville, VA. The NPI Number for Lisa M Street is 1679349781 and holds a License No. (Virginia).

The current practice location address for Lisa M Street is 1328 Root Trl, Martinsville, VA and can be reached out via phone at 276-358-0856.

Location: 1328 Root Trl, Martinsville, VA, 24112-5528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679349781
Provider Name
Lisa M Street
Credential
Provider Entity Type
Individual
Gender
Female
Address
1328 Root Trl, Martinsville, VA, 24112-5528
Phone Number
276-358-0856
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1328 Root Trl
City
Martinsville
State
Virginia
Zip
24112-5528
Phone Number
276-358-0856
Fax Number
person
Provider Business Mailing Address Details
Address
1328 Root Trl
City
Martinsville
State
Virginia
Zip
24112-5528
Phone Number
276-358-0856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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