Individual
LISA E ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
224 GREAT BRIDGE BLVD, CHESAPEAKE COMM SERV BOARD, CHESAPEAKE, VA 23320
(757) 547-9334
(757) 819-6292
Mailing address
PO BOX 1647, 224 GREAT BRIDGE BLVD CHESAPEAKE COMMUNITY SERVICES BOA, CHESAPEAKE, VA 23320
(757) 547-9334
(757) 819-6292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003582LPC
VA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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