Individual
LISA PATRIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LPCC
Contact information
Practice address
509 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 466-2435
Mailing address
509 PARK ST, CHARLOTTESVILLE, VA 22902-4739
(434) 202-3501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701007236
VA
101YM0800X
Mental Health Counselor
LPCC8418
CA
Other
Enumeration date
07/22/2020
Last updated
01/21/2024
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