Lisa Emily Theofelis, MC.61250418

NPI #1851043863 in Des Moines, Washington

Provider Information

NPI Number: 1851043863
Entity Type: Individual
Name: Lisa Emily Theofelis, MC.61250418
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MC.61250418
Enumeration Date: Jan 20, 2022
Last Updated: Jan 20, 2022

Practice Location

Address: 1322 S 235TH PL
City: Des Moines
State: Washington
ZIP Code: 98198-5426
Phone: (206) 914-4697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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