Individual
LISA CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CADC, PLMHP
Contact information
Practice address
427 E KANESVILLE BLVD STE 102, COUNCIL BLUFFS, IA 51503-4403
(712) 256-9660
Mailing address
170 W GRAHAM AVE, COUNCIL BLUFFS, IA 51503-6832
(712) 256-3131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10728
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025225100
—
NE
05
—
10025315800
—
NE
05
—
47037661200
—
NE
05
—
470390618
—
IA
Enumeration date
01/27/2016
Last updated
09/11/2025
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