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Individual

LISA LESSING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LHMC

Contact information

Practice address
6202 CONSTITUTION DR STE B, FORT WAYNE, IN 46804-1583
(314) 495-8938
Mailing address
6817 SWEETBRIER DR, FORT WAYNE, IN 46814-4518
(314) 495-8938

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003212A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39003212A
LMHC
IN
Enumeration date
03/02/2018
Last updated
04/09/2018
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