MRS. Lisa La'ree Kishiyama, LMSW

NPI #1982999074 in Idaho Falls, Idaho

Provider Information

NPI Number: 1982999074
Entity Type: Individual
Name: MRS. Lisa La'ree Kishiyama, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LMSW
Enumeration Date: Jun 16, 2011
Last Updated: Jun 16, 2011

Practice Location

Address: 660 S WOODRUFF AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-5299
Phone: (208) 523-1558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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