Individual provider · Type 1 NPI

Lisa La'ree Kishiyama, LMSW

Professional Counselor · Idaho Falls, ID

NPI number 1982999074 Active

Practice location

660 S Woodruff Ave
Idaho Falls, ID 83401-5299

Call (208) 523-1558 Map

Fax (208) 529-4788

Mailing address

2820 Saint Charles Ave
Idaho Falls, ID 83404-7330

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLMSW-31426 (ID)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1982999074

Lisa La'ree Kishiyama, LMSW's National Provider Identifier is 1982999074, issued on Jun 16, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 16, 2011.