Provider Demographics
NPI:1750599577
Name:RINEHART, LISA JOANNE (MS, NCC, LPC, LAMFT)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:JOANNE
Last Name:RINEHART
Suffix:
Gender:F
Credentials:MS, NCC, LPC, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8997
Mailing Address - Country:US
Mailing Address - Phone:507-387-6894
Mailing Address - Fax:
Practice Address - Street 1:127 RED OAK LN
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8997
Practice Address - Country:US
Practice Address - Phone:507-387-6894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00475101YP2500X
MN1573106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist