Provider Demographics
NPI:1770130700
Name:STRIEDINGER, LISA (CPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:STRIEDINGER
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285 FERGUSON ST SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-6143
Mailing Address - Country:US
Mailing Address - Phone:360-943-1907
Mailing Address - Fax:253-572-0153
Practice Address - Street 1:3285 FERGUSON ST SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-6143
Practice Address - Country:US
Practice Address - Phone:360-943-1907
Practice Address - Fax:253-572-0153
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-23
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60997175101YM0800X, 175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health