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Individual
LISA REIDSEMA
Active
Individual
LISA REIDSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC/MHC/LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC10564
MA
101YM0800X
Mental Health Counselor
MH 12785
FL
101YM0800X
Mental Health Counselor
Primary
MHC00905
RI
Other
Enumeration date
07/10/2012
Last updated
08/19/2021
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