Most Relevant Information
Provider Data
| NPI Number: | 1003640640 |
| Provider Name: | CAITLIN LISEE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2024 |
| Last Updated: | 08/27/2024 |
Provider Practice Location
13000 HARBOR CENTER DR STE 301
WOODBRIDGE
VA
221922847
Practice Location Phone/Fax
| Phone: | 7034922994 |
| Fax: |
Provider Mailing Location
3411 S FENMORE RD
MERRILL
MI
486379706
Provider Mailing Phone/Fax
| Phone: | 9898603796 |
| Fax: |