Individual
MRS. LISA M REO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, PMH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1622
FL
101YP2500X
Professional Counselor
Primary
LC8497
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
MENTAL HEALTH
FL
05
—
1467691873
—
FL
Enumeration date
03/04/2019
Last updated
07/29/2024
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