person
Lisa K Grutzmacher, PAT
Professional Counselor in Driggs, Idaho
NPI 1326303942

Lisa K Grutzmacher is a Professional Counselor based in Driggs, ID and is specialized in Professional. Lisa K Grutzmacher practices in Driggs, ID and has the professional credentials of PAT. The NPI Number for Lisa K Grutzmacher is 1326303942 and holds a License No. PAT-056 (Idaho).

The current practice location address for Lisa K Grutzmacher is 1300 Arrowhead Plaza Way, Driggs, ID and can be reached out via phone at 208-351-1323. You can also correspond with Lisa K Grutzmacher through the mailing address at PO BOX 1671, DRIGGS, ID - 83422-1803 (mailing address contact number: 208-351-1323).

Location: 1300 Arrowhead Plaza Way, Driggs, ID, 83422-1803
person
Provider Profile Details
NPI Number
1326303942
Provider Name
Lisa K Grutzmacher
Credential
PAT
Provider Entity Type
Individual
Gender
Female
Address
1300 Arrowhead Plaza Way, Driggs, ID, 83422-1803
Phone Number
208-351-1323
Fax Number
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1300 Arrowhead Plaza Way
City
State
Zip
83422
Phone Number
208-351-1323
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Arrowhead Plaza Way
City
State
Zip
83422
Phone Number
208-351-1323
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCPC-8588 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PAT-056 (Wyoming)
Definition
Definition to come...
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