Individual
LISA REIDSEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC/MHC/LPC
Contact information
Practice address
189 GOVERNOR ST, SUITE 202, PROVIDENCE, RI 02906
(401) 484-0244
(855) 239-0365
Mailing address
11 S ANGELL ST #345, PROVIDENCE, RI 02906
(401) 484-0244
(855) 239-0365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC10564
MA
101YM0800X
Mental Health Counselor
MH 12785
FL
101YM0800X
Mental Health Counselor
Primary
MHC00905
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012963700
—
FL
Enumeration date
07/10/2012
Last updated
08/19/2021
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