Lisa Kishiyama, LMSW

NPI 1982999074 · on the registry since 2011 · sole proprietor

Practice

Address: 660 S Woodruff Ave
Idaho Falls, ID 83401
Phone: (208) 523-1558
Fax: (208) 529-4788
Organisation at this address: Sullivan Mental Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho