Organization
LISA FERRETTI LISW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FERRETTI (OWNER)
(319) 440-0751
Entity
Organization
Contact information
Practice address
1221 PARK PL NE STE F, CEDAR RAPIDS, IA 52402-2019
(319) 440-0751
(319) 409-8071
Mailing address
1221 PARK PL NE STE F, CEDAR RAPIDS, IA 52402-2019
(319) 440-0751
(319) 409-8071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104339000
—
IA
Enumeration date
04/03/2019
Last updated
07/12/2022
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