Individual provider · Type 1 NPI
Risa G. Mortensen, LPC
Mental Health Counselor · Burley, ID
NPI number
1093155871
Active
Practice location
1759 Jackson Ave
Burley, ID 83318-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC 4877 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1093155871
Risa G. Mortensen, LPC's National Provider Identifier is 1093155871, issued on Jun 26, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burley, ID. The record was last updated on Nov 4, 2025.