Provider Demographics
NPI:1881845527
Name:ALI, LISA K (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:K
Last Name:ALI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:K
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1776 S JACKSON ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3804
Mailing Address - Country:US
Mailing Address - Phone:303-859-9444
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 206
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3804
Practice Address - Country:US
Practice Address - Phone:303-859-9444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4448101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional