Lisa Marie Crist, LCSW
Social Worker, Clinical in Peoria, AZ. Individual provider (NPI-1).
NPI number1831887892
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1831887892
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Marie Crist
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2023
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-21170 | AZ | Yes |
Practice location
8765 W Kelton Ln Bldg A2b3Peoria, AZ 85382-3584
Phone 602-613-0403
Mailing address
101 W Sequoia DrPhoenix, AZ 85027-4753
Phone 623-261-2983
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