Individual
MRS. LAUREN BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4453 SHORE DR, VIRGINIA BEACH, VA 23455-2821
(316) 744-5354
Mailing address
2176 S TERRACE DR, WICHITA, KS 67218-5046
(316) 744-5354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
701012519
VA
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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