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LISA PETERSON, LMHC LCDP LCDCS MAC
LMHC LCDP LCDCS MAC
Mental Health Counselor
NPI: 1962514869IndividualAccepts Medicare
Specialties, Licenses & Credentials
Addiction (Substance Use Disorder) Psychologist
Psychologist — Addiction (Substance Use Disorder)
Code: 103TA0400X
LCDP00129(RI)
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
MHC00235(RI)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2002
Contact & Hours
- Address
- 110 ELMWOOD AVE
PROVIDENCE, RI 02907 - Phone
- (401) 432-6029
Quick Facts
- NPI
- 1962514869
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 24
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