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Lisa A Peterson, LMHCLCDPLCDCSMAC
Mental Health Counselor in Providence, Rhode Island
NPI 1962514869

Lisa A Peterson is a Mental Health Counselor based in Providence, RI and is specialized in Mental Health. Lisa A Peterson practices in Providence, RI and has the professional credentials of LMHCLCDPLCDCSMAC. The NPI Number for Lisa A Peterson is 1962514869 and holds a License No. LCDP00129 (Rhode Island).

The current practice location address for Lisa A Peterson is 110 Elmwood Ave, Providence, RI and can be reached out via phone at 401-432-6029 and via fax at 401-300-5656. You can also correspond with Lisa A Peterson through the mailing address at 110 ELMWOOD AVE, PROVIDENCE, RI - 02907-2423 (mailing address contact number: 401-432-6029).

Location: 110 Elmwood Ave, Providence, RI, 02907-2423
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Provider Profile Details
NPI Number
1962514869
Provider Name
Lisa A Peterson
Credential
LMHCLCDPLCDCSMAC
Provider Entity Type
Individual
Gender
Female
Address
110 Elmwood Ave, Providence, RI, 02907-2423
Phone Number
401-432-6029
Fax Number
401-300-5656
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
412210 01 RI BLUE CHIP
29290 8 01 RI BLUE CROSS
LJ55332 05 RI
institution
Provider Business Practice Location Address Details
Address
110 Elmwood Ave
City
State
Zip
02907-2423
Phone Number
401-432-6029
Fax Number
401-300-5656
person
Provider Business Mailing Address Details
Address
110 Elmwood Ave
City
State
Zip
02907-2423
Phone Number
401-432-6029
Fax Number
401-300-5656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MHC00235 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDP00129 (Rhode Island)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
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