DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA J BILDEAUX, MA, LPCC

Active

LISA J BILDEAUX, MA, LPCC is a Professional Counselor healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1720699077 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · GRAND RAPIDS, MN

Registration Details

NPI Number
1720699077
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2020 (5.9658987175389 yrs)
Last Updated
Mar 13, 2025
Licenses
2561 (MN)
2561 (MN)

Practice Information

Address
516 S POKEGAMA AVE
GRAND RAPIDS, MN, 557443800
Browse MN providers · Browse ZIP 55744
Phone
2183272001
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in GRAND RAPIDS, MN

Name Credential NPI
BETH M PREWETT 1952594046
ANGELA BARATTO LPCC 1902115207
BRANDI WORRATH MS, LCP 1538452172
KELSEY UNGER LPCC 1043625403
JILLIAN JAE RISTAU MS, LPCC 1437522984
RACHEL MARIE BOUGALIS LPCC 1740648575
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.