Individual provider · Type 1 NPI

Lisa Michele King

Peer Specialist · St. Cloud, MN

NPI number 1114717295 Active

Practice location

3701 12th St N
St. Cloud, MN 56303-2255

Call (763) 600-3250 Map

Mailing address

PO Box 25
Princeton, MN 55371-0025

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114717295

Lisa Michele King's National Provider Identifier is 1114717295, issued on May 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Cloud, MN. The record was last updated on May 12, 2025.