Individual provider · Type 1 NPI

Lisa Fadorsen, LMHC

Mental Health Counselor · Bradenton, FL

NPI number 1275903288 Active

Practice location

2020 26th Ave E
Bradenton, FL 34208-7753

Call (941) 782-4600 Map

Fax (941) 782-4601

Mailing address

PO Box 9478
Bradenton, FL 34206-9478

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE1200017 (OH)
Professional Counselor 101YP2500XPMH1252 (FL)
Professional Counselor 101YP2500X1198 (MS)
Mental Health Counselor Primary 101YM0800XMH15099 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1275903288

Lisa Fadorsen, LMHC's National Provider Identifier is 1275903288, issued on Oct 2, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bradenton, FL. The record was last updated on Mar 16, 2018.