Individual
MS. LISA MARIE TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3782 E AMITY AVE STE 105, NAMPA, ID 83687-8961
(208) 870-7978
Mailing address
3782 E AMITY AVE UNIT 105, NAMPA, ID 83687-1196
(208) 563-2972
(208) 936-3422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37515
ID
101YP2500X
Professional Counselor
37515
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-37515
ID
Other
Enumeration date
04/08/2015
Last updated
10/07/2025
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