Provider Demographics
NPI:1730612920
Name:POHLMAN, LISA (MS, AT, LCPC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:MS, AT, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 2ND ST W STE 100
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-3065
Mailing Address - Country:US
Mailing Address - Phone:406-616-2780
Mailing Address - Fax:406-730-2488
Practice Address - Street 1:50 2ND ST W STE 100
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-3065
Practice Address - Country:US
Practice Address - Phone:406-616-2780
Practice Address - Fax:406-730-2488
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-23767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional