Individual
MRS. LISA OUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3706 WINCHESTER DR, PORTSMOUTH, VA 23707-4332
(757) 675-8763
Mailing address
4621 MALLARD CRES, PORTSMOUTH, VA 23703-2240
(757) 675-8763
(757) 483-2374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
01/31/2022
Last updated
10/09/2022
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