Individual
MS. LISA R. RENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1664 S DIXIE DR STE E102, SAINT GEORGE, UT 84770-7329
(253) 304-4187
Mailing address
325 E ZION TRL N, TOQUERVILLE, UT 84774-5121
(253) 304-4187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11127012-3902
UT
101YP2500X
Professional Counselor
Primary
RC00012185
WA
Other
Enumeration date
08/31/2010
Last updated
09/01/2021
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