Individual provider · Type 1 NPI

Lisa Holden Mortimer, MSW

Mental Health Counselor · Boston, MA

NPI number 1710012059 Active

Practice location

32 Fruit St, WAC037
Boston, MA 02114-2620

Mailing address

47 Mount Hood Ter
Melrose, MA 02176-5822

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1023224 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1710012059

Lisa Holden Mortimer, MSW's National Provider Identifier is 1710012059, issued on Feb 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Jul 8, 2007.