Individual
LISE O FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7400 BEAUFONT SPRINGS DR STE 300, NORTH CHESTERFIELD, VA 23225-5519
(804) 647-1710
Mailing address
7400 BEAUFONT SPRINGS DR STE 300, NORTH CHESTERFIELD, VA 23225-5519
(804) 647-1710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007404
VA
Other
Enumeration date
02/13/2018
Last updated
11/04/2024
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