Lisa Halstrom, LPC is a
Counselor - Mental Health based in Coeur D' Alene, Idaho. Lisa Halstrom is licensed to practice in Idaho (license number LPC-5226) and her current practice location is
1115 Ironwood Drive, Coeur D' Alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 819-5951.
NPI number for Lisa Halstrom is 1104230549 and her current mailing address is 1115 Ironwood Drive, Coeur D' Alene, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104230549.
Healthcare Provider's Profile
| Full Name | Lisa Halstrom |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 1115 Ironwood Drive, Coeur D' Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104230549
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 06/13/2014
Medical Identifiers
Medical identifiers for Lisa Halstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104230549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LPC-5226 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Halstrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Halstrom, LPC
1115 Ironwood Drive,
Coeur D' Alene, ID 83814
Ph: (208) 819-5951 | Lisa Halstrom, LPC
1115 Ironwood Drive,
Coeur D' Alene, ID 83814
Ph: (208) 819-5951 |
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