Provider Demographics
NPI:1700155546
Name:SCHMITTER, LISA KAY (LPC, M ED)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:KAY
Last Name:SCHMITTER
Suffix:
Gender:F
Credentials:LPC, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E REDOUBT
Mailing Address - Street 2:P O BOX 3194
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669
Mailing Address - Country:US
Mailing Address - Phone:907-394-8888
Mailing Address - Fax:
Practice Address - Street 1:405 E REDOUBT
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669
Practice Address - Country:US
Practice Address - Phone:907-394-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional