| Doctor Name: | MRS. JENNIFER L. LISKA |
| NPI Number: | 1265559538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 00425 |
| Business Practice Address: | 316 E Main St Anoka, MN - 553032696 |
| Business Phone Number: | 7634272864 |
| Business Fax Number: | 7634272864 |
| Mailing Address: | 2712 Fremont Ave S, MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554081122 |
| Phone Number: | 6128221357 |
| Fax Number: | 6128221360 |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |