Provider Demographics
NPI:1386956175
Name:SAAVEDRA, LISA PATRICIA (LPC-CR)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:PATRICIA
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:LPC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 TREE BEND DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8922
Mailing Address - Country:US
Mailing Address - Phone:614-327-0073
Mailing Address - Fax:614-839-4989
Practice Address - Street 1:570 N STATE ST STE 210
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7135
Practice Address - Country:US
Practice Address - Phone:614-327-0073
Practice Address - Fax:614-839-4989
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2011-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0007636101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor