Individual
LISA MARIE STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
20 CEDAR ST, WORCESTER, MA 01609-2520
(508) 753-5425
Mailing address
11 CHECKERBERRY LN, SHREWSBURY, MA 01545-3220
(508) 615-4559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7563
MA
101YP2500X
Professional Counselor
Primary
7563
MA
Other
Enumeration date
02/16/2011
Last updated
08/27/2019
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