LISA LA'REE KISHIYAMA

IDAHO FALLS, ID
NPI1982999074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LMSW-31426)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
Mrs. LISA LA'REE KISHIYAMA LMSW
660 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5299
Phone number: 208-523-1558
Mailing Address
Mrs. LISA LA'REE KISHIYAMA LMSW
2820 SAINT CHARLES AVE
IDAHO FALLS, ID 83404-7330
Phone number: 208-681-4808