Individual
LISA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
930 REDGATE AVE, NORFOLK, VA 23507-1518
(757) 626-3733
(757) 626-3331
Mailing address
930 REDGATE AVE, NORFOLK, VA 23507-1518
(757) 626-3733
(757) 626-3331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001962
VA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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