Individual
LISA ROSE PISANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
112 LAKE ST, BURLINGTON, VT 05401-5284
(802) 865-3450
(802) 859-3309
Mailing address
PO BOX 1480, WAITSFIELD, VT 05673-1480
(802) 560-5090
(802) 419-9669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134459
VT
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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