Provider Information for 1598288805
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ALISHA LEIGH LILJEGRENOLSSON PsyD
Other Names:Former Name:ALISHA LEIGH VANSCHOYCK MS CousnelingSex: Female
NPI: 1598288805
Last Updated: 2024-01-23
Certification Date: 2024-01-23
Certification Date: 2024-01-23
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1598288805 | ||||||||||||
| Enumeration Date | 2017-07-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 933 FRED BURR RD VICTOR, MT 59875-9570 United States Phone: 805-478-1298 | Fax: | ||||||||||||
| Primary Practice Address | 933 FRED BURR RD VICTOR, MT 59875-9570 United States Phone: 905-478-1298 | Fax: | ||||||||||||
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