person
Lisa M. Goetz, LPCC
Professional Counselor in Mandan, North Dakota
NPI 1154746212

Lisa M. Goetz is a Professional Counselor based in Mandan, ND and is specialized in Professional. Lisa M. Goetz practices in Mandan, ND and has the professional credentials of LPCC. The NPI Number for Lisa M. Goetz is 1154746212 and holds a License No. 774-3-1-14-355 (North Dakota).

The current practice location address for Lisa M. Goetz is 1702 E Main St Ste 101, Mandan, ND and can be reached out via phone at 701-751-8060 and via fax at 701-751-8060. You can also correspond with Lisa M. Goetz through the mailing address at 1702 E MAIN ST STE 101, MANDAN, ND - 58554-3818 (mailing address contact number: 701-751-8060).

Location: 1702 E Main St Ste 101, Mandan, ND, 58554-3818
person
Provider Profile Details
NPI Number
1154746212
Provider Name
Lisa M. Goetz
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
1702 E Main St Ste 101, Mandan, ND, 58554-3818
Phone Number
701-751-8060
Fax Number
701-751-8060
Provider Enumeration Date
02/26/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1463183 05 ND
institution
Provider Business Practice Location Address Details
Address
1702 E Main St Ste 101
City
State
Zip
58554-3818
Phone Number
701-751-8060
Fax Number
701-751-8060
person
Provider Business Mailing Address Details
Address
1702 E Main St Ste 101
City
State
Zip
58554-3818
Phone Number
701-751-8060
Fax Number
701-751-8060
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
774-3-1-14-355 (North Dakota)
Definition
Definition to come...
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