LISA PETERSON, LMHC LCDP LCDCS MAC

Counselor - Mental Health

Active Individual
NPI: 1962514869

Practice Address

110 ELMWOOD AVE
Providence, RI 02907

Phone: (401) 432-6029

Specialties

Specialty Code Primary License
Psychologist - Addiction (Substance Use Disorder) 103TA0400X No LCDP00129 (RI)
Counselor - Mental Health 101YM0800X Yes MHC00235 (RI)

Frequently Asked Questions

NPI 1962514869 is the National Provider Identifier for LISA PETERSON, LMHC LCDP LCDCS MAC, a Counselor - Mental Health provider located in Providence, RI. This NPI was enumerated on August 31, 2006.
LISA PETERSON, LMHC LCDP LCDCS MAC practices at 110 ELMWOOD AVE, Providence, RI 02907.

Quick Facts

NPI
1962514869
Type
Individual
Enumerated
Aug 31, 2006
Last Updated
Jun 10, 2025

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