| Doctor Name: | MS. LISA FELDMANN |
| NPI Number: | 1013233659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180.004897 |
| Business Practice Address: | 1307 W Main St Marion, IL - 629591139 |
| Business Phone Number: | 6189975336 |
| Business Fax Number: | 6189932969 |
| Mailing Address: | 409 Prosperity St, CARTERVILLE |
| State: | IL |
| Postal Code: | 629181141 |
| Phone Number: | 6189975336 |
| Fax Number: | 6189932969 |
| NPI Enumeration Date: | 04/07/2010 |
| NPI Last Update Date: | 05/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.004897 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |