Lisa Hendrickson
NPI #1497204507 in Middletown, New York
Provider Information
- NPI Number
- 1497204507
- Entity Type
- Individual
- Name
- Lisa Hendrickson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 30, 2016
- Last Updated
- Mar 22, 2017
Practice Location
- Address
- 15 FORTUNE RD W
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-1625
- Phone
- (845) 692-4454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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