Individual
LISA HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 N LYNNHAVEN RD STE 118, VIRGINIA BEACH, VA 23452-7514
(757) 340-3489
(757) 456-0875
Mailing address
PO BOX 2546, VIRGINIA BEACH, VA 23450-2546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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