Lisa A Peterson, LMHC LCDP LCDCS MAC - Providence, RI

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.

Location: 110 Elmwood Ave, Providence, RI, 02907-2423

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

Identifier	Type	State	Issuer
412210	01	RI	BLUE CHIP
29290 8	01	RI	BLUE CROSS
LJ55332	05	RI

Address

110 Elmwood Ave

City

Providence

State

Rhode Island

Zip

02907-2423

Phone Number

401-432-6029

Fax Number

401-300-5656

Address

110 Elmwood Ave

City

Providence

State

Rhode Island

Zip

02907-2423

Phone Number

401-432-6029

Fax Number

401-300-5656

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

MHC00235 (Rhode Island)

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Addiction (Substance Use Disorder)

Taxonomy

103TA0400X

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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