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Individual

LISA DOLLENE MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC-S, BS, QMHP

Contact information

Practice address
2623 PARK AVE, PETERSBURG, VA 23805-2420
(804) 471-4711
Mailing address
2623 PARK AVE, PETERSBURG, VA 23805-2420
(804) 471-4711

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0709025747
VA

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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