Provider Demographics
NPI:1558384974
Name:DONSKER, LISA MARIE (LPC, MC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:DONSKER
Suffix:
Gender:F
Credentials:LPC, MC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12010 N 32ND ST
Mailing Address - Street 2:BUILDING C, SUITE 215
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1219
Mailing Address - Country:US
Mailing Address - Phone:602-525-0866
Mailing Address - Fax:
Practice Address - Street 1:12010 N 32ND ST
Practice Address - Street 2:BUILDING C, SUITE 215
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-1219
Practice Address - Country:US
Practice Address - Phone:602-525-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC #10507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional