# LISA MOHAWK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063731917
- **Gender:** F
- **Credential:** LPC, CSAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 15441-132 | WI | — |
| 101YP2500X | Professional Counselor | 5758-125 | WI | Yes |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 11/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101YA0400X | — | WI |
| 05 | — | 101YP2500X | — | WI |