Provider Demographics
NPI:1982821567
Name:KISER, LISA JOY (MS LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:JOY
Last Name:KISER
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:JOY
Other - Last Name:ROMERO, VELASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1431 FIVEMILE CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4314
Mailing Address - Country:US
Mailing Address - Phone:719-568-3469
Mailing Address - Fax:866-699-2459
Practice Address - Street 1:1431 FIVEMILE CREEK AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4314
Practice Address - Country:US
Practice Address - Phone:719-568-3469
Practice Address - Fax:866-699-2459
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist