| Doctor Name: | LISA VANHOUTEN |
| NPI Number: | 1326411463 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.I.S.W. |
| License Number: | I.1302300 |
| Business Practice Address: | 515 Haymond St Galion, OH - 448331325 |
| Business Phone Number: | 4195662891 |
| Business Fax Number: | 5673939091 |
| Mailing Address: | 515 Haymond St, GALION |
| State: | OH |
| Postal Code: | 448331325 |
| Phone Number: | 4195662891 |
| Fax Number: | 5673939091 |
| NPI Enumeration Date: | 11/12/2015 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.1302300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |