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Individual

DR. LISETTE FUNDORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
ONE COLUMBUS CENTER SUITE 600, VIRGINIA BEACH, VA 23462
(757) 204-1230
Mailing address
ONE COLUMBUS CENTER SUITE 600, VIRGINIA BEACH, VA 23462
(757) 204-1230

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH15060
FL
101YP2500X
Professional Counselor
Primary
0701008466
VA

Other

Enumeration date
05/04/2015
Last updated
01/01/2025
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