Individual
MRS. LISA M STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-2659
(757) 310-3535
Mailing address
340 SUSAN CONSTANT DR, NEWPORT NEWS, VA 23608-2659
(757) 310-3535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0732010818
QMHP-A
VA
Enumeration date
06/04/2024
Last updated
06/05/2024
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