Individual
LISA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, ATR-BC
Contact information
Practice address
900 GRANBY ST STE 206, NORFOLK, VA 23510-2567
(757) 756-5254
Mailing address
900 GRANBY ST STE 206, NORFOLK, VA 23510-2567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011111
VA
Other
Enumeration date
12/30/2021
Last updated
10/06/2023
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