Individual
MS. LISA R SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CN
Contact information
Practice address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(480) 675-4568
(480) 907-1963
Mailing address
9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260-6986
(480) 675-4568
(480) 907-1963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0199991212
AZ
101YM0800X
Mental Health Counselor
20358
AZ
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20358
STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH LICENSE LPC
AZ
01
—
NU60495044
CERTIFIED NUTRITIONIST
WA
Enumeration date
06/20/2013
Last updated
12/31/2021
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