| Doctor Name: | MRS. LISA RENAE KRESS-SCUDIERE |
| NPI Number: | 1033435144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC-S, M.ED |
| License Number: | LPC0000002786 |
| Business Practice Address: | 525 Metro Place North Dublin, OH - 43017 |
| Business Phone Number: | 6148895837 |
| Business Fax Number: | |
| Mailing Address: | 149 Powhatan Avenue, COLUMBUS |
| State: | OH |
| Postal Code: | 43204 |
| Phone Number: | 3302840705 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2010 |
| NPI Last Update Date: | 11/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC0000002786 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |