MISS JENNIFER CHRISTINA LISK BSW; CADC-R NPI 1598262446

NPI Information

MISS Jennifer Christina Lisk, BSW; CADC-R is a counselor in Coburg, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MISS Jennifer Christina Lisk, BSW; CADC-R NPI is 1598262446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 SERENITY LN
COBURG, OR
ZIP 97408-350
Phone: (541) 204-2704

The enumeration date for this NPI number is 4/8/2018 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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