Individual
LISA M. GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4007 STATE ST STE 20, BISMARCK, ND 58503-0637
(701) 751-8060
(701) 751-8060
Mailing address
4007 STATE ST STE 20, BISMARCK, ND 58503-0637
(701) 751-8060
(701) 751-8060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
774-3-1-14
ND
101YP2500X
Professional Counselor
Primary
774-3-1-14-355
ND
101YP2500X
Professional Counselor
774-3-1-14A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463183
—
ND
Enumeration date
02/26/2014
Last updated
04/15/2025
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