Individual
MS. LISA LOUISE CANNISTRACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60716486
Contact information
Practice address
31640 STATE ROUTE 20, OAK HARBOR, WA 98277-3128
(360) 679-7676
Mailing address
PO BOX 545, CLINTON, WA 98236-0545
(360) 341-4451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60716486
WA
Other
Enumeration date
03/04/2019
Last updated
02/11/2026
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