Individual provider · Type 1 NPI

Lisa Reidsema, LMHC/MHC/LPC

Mental Health Counselor · Providence, RI

NPI number 1649535261 Active

Practice location

189 Governor St, Suite 202
Providence, RI 02906

Call (401) 484-0244 Map

Fax (855) 239-0365

Mailing address

11 S Angell St #345
Providence, RI 02906

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH 12785 (FL)
Mental Health Counselor 101YM0800XLMHC10564 (MA)
Mental Health Counselor Primary 101YM0800XMHC00905 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1649535261

Lisa Reidsema, LMHC/MHC/LPC's National Provider Identifier is 1649535261, issued on Jul 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Aug 19, 2021.