Individual
LISA GOODWIN BOLLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1320 CENTRAL PARK BLVD STE 412, FREDERICKSBURG, VA 22401-4959
(540) 412-8613
(540) 566-5151
Mailing address
1320 CENTRAL PARK BLVD STE 412, FREDERICKSBURG, VA 22401-4959
(540) 412-8613
(540) 566-5151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704018517
VA
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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