Provider Demographics
NPI:1982821567
Name:KISER, LISA JOY (MS LMFT)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:JOY
Last Name:KISER
Suffix:
Gender:
Credentials:MS LMFT
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:JOY
Other - Last Name:ROMERO, VELASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3630
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86003-3630
Mailing Address - Country:US
Mailing Address - Phone:928-522-9879
Mailing Address - Fax:
Practice Address - Street 1:2920 N 4TH ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1816
Practice Address - Country:US
Practice Address - Phone:928-522-9400
Practice Address - Fax:928-522-9664
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO213106H00000X
AZLMFT-16227106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist