Lisette Medori Bennett, LPC
Counselor, Professional in Chesapeake, VA. Individual provider (NPI-1).
NPI number1952887952
StatusActive
Last updated in NPPESJul 13, 2018
Details
- NPI
- 1952887952
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisette Medori Bennett
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2018
- Last updated
- Jul 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701007789 | VA | Yes |
Practice location
224 Great Bridge BlvdChesapeake, VA 23320-3904
Phone 757-819-6158
Mailing address
1613 Whippoorwill TrceChesapeake, VA 23322-1275
Phone 757-621-6644
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