person
Mrs. Lisa La'ree Kishiyama, LMSW
Professional Counselor in Idaho Falls, Idaho
NPI 1982999074

Lisa La'ree Kishiyama is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. Lisa La'ree Kishiyama practices in Idaho Falls, ID and has the professional credentials of LMSW. The NPI Number for Lisa La'ree Kishiyama is 1982999074 and holds a License No. LMSW-31426 (Idaho).

The current practice location address for Lisa La'ree Kishiyama is 660 S Woodruff Ave, Idaho Falls, ID and can be reached out via phone at 208-523-1558 and via fax at 208-529-4788.

Location: 660 S Woodruff Ave, Idaho Falls, ID, 83404-7330
person
Provider Profile Details
NPI Number
1982999074
Provider Name
Lisa La'ree Kishiyama
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
660 S Woodruff Ave, Idaho Falls, ID, 83404-7330
Phone Number
208-523-1558
Fax Number
208-529-4788
Provider Enumeration Date
06/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
660 S Woodruff Ave
City
State
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider Business Mailing Address Details
Address
660 S Woodruff Ave
City
State
Zip
83401-5299
Phone Number
208-523-1558
Fax Number
208-529-4788
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LMSW-31426 (Idaho)
Definition
Definition to come...
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