Individual provider · Type 1 NPI

Lisette Medori Bennett, LPC

Professional Counselor · Chesapeake, VA

NPI number 1952887952 Active

Practice location

224 Great Bridge Blvd
Chesapeake, VA 23320-3904

Mailing address

1613 Whippoorwill Trce
Chesapeake, VA 23322-1275

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701007789 (VA)

Professional Counselor: Definition to come...

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About NPI 1952887952

Lisette Medori Bennett, LPC's National Provider Identifier is 1952887952, issued on Jul 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chesapeake, VA. The record was last updated on Jul 13, 2018.