Individual provider · Type 1 NPI
Lisette Fundora, LPC, LMHC
Professional Counselor · Virginia Beach, VA
NPI number
1912384546
Active
Practice location
One Columbus Center Suite 600
Virginia Beach, VA 23462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH15060 (FL) |
| Professional Counselor Primary | 101YP2500X | 0701008466 (VA) |
Professional Counselor: Definition to come...
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About NPI 1912384546
Lisette Fundora, LPC, LMHC's National Provider Identifier is 1912384546, issued on May 4, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia Beach, VA. The record was last updated on Jan 1, 2025.