LISA PETERSEN

BURLINGTON, VT
NPI1942704127
Former NameLISA MALLORY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VT  068-01288884)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
LISA PETERSEN LCMHC
1138 PINE ST
BURLINGTON, VT 05401-5353
Phone number: 802-488-6600
Mailing Address
LISA PETERSEN LCMHC
208 FLYNN AVE STE 3J
BURLINGTON, VT 05401-5420
Phone number: 802-488-6920