Individual
LISA A THOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
12641 OCEAN GTWY STE 96, OCEAN CITY, MD 21842-9527
(410) 294-0764
Mailing address
12641 OCEAN GTWY STE 96, OCEAN CITY, MD 21842-9527
(410) 294-0764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2152
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15003700
—
MD
Enumeration date
05/01/2007
Last updated
09/25/2025
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