MS. LISA J. MATZKE LPC
NPI 1053697979
Counselor - Professional in North Mankato, MN
Active since October 24, 2011
1445 LOOKOUT DR STE 200, NORTH MANKATO, MN 56003(507) 340-5126(507) 345-8861 Get Directions Write a Review
About Ms. Lisa J. Matzke Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA J. MATZKE LPC (NPI 1053697979) is an individual professional provider in North Mankato, Minnesota, licensed in Minnesota (01108) and active in the NPI registry since October 2011.
NPPES Registry Identity
NPI1053697979
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LISA J. MATZKECredential: LPC
Location Address1445 LOOKOUT DR STE 200North Mankato, MN 56003-2501
Mailing Address1445 Lookout Dr Ste 200North Mankato, MN 56003-2501 · (507) 340-5126 · Fax (507) 345-8861
Phone(507) 340-5126
Fax(507) 345-8861
Sole ProprietorYes
Enumeration DateOctober 24, 2011
✔ NPI 1053697979 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 01108
1445 LOOKOUT DR STE 200, North Mankato, MN 56003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053697979, enumerated as an "individual" on October 24, 2011.
The provider is located at 1445 LOOKOUT DR STE 200 NORTH MANKATO, MN 56003 and the phone number is (507) 340-5126.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
