Individual provider · Type 1 NPI

Lisa Fedewa

Counselor · Daytona Beach, FL

NPI number 1265776454 Active

Practice location

259 Bill France Blvd, Suite 200
Daytona Beach, FL 32114-1316

Call (904) 586-6560 Map

Mailing address

1955 Leap Frog Ln
Middleburg, FL 32068-9095

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1265776454

Lisa Fedewa's National Provider Identifier is 1265776454, issued on Nov 12, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 5, 2014.