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Organization
JOURNEYS
Active
Organization
JOURNEYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C VAN OOSSANEN LICSW (PSYCHOTHERAPIST)
(503) 720-8336
Entity
Organization
Contact information
Practice address
1775 MASSACHUSETTS AVE STE 3A, LEXINGTON, MA 02420-5322
(781) 472-0341
Mailing address
32 TYLER RD, LEXINGTON, MA 02420-2426
(503) 720-8336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538743430
NPI
MA
Enumeration date
09/08/2022
Last updated
09/08/2022
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