| Doctor Name: | LISA LEE NITSCH |
| NPI Number: | 1154578110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 62014 |
| Business Practice Address: | 126 State Winters, TX - 79567 |
| Business Phone Number: | 3257545591 |
| Business Fax Number: | |
| Mailing Address: | 409 Runnels, BIG SPRING |
| State: | TX |
| Postal Code: | 79720 |
| Phone Number: | 4322642650 |
| Fax Number: | 4322689897 |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 62014 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |