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Individual
LISA O'DONNELL
Active
Individual
LISA O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., M.S.E, ED.S.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11062-125
WI
101YM0800X
Mental Health Counselor
Primary
11062-125
WI
101YM0800X
Mental Health Counselor
Primary
7103-226
WI
103TS0200X
School Psychologist
62616466
WI
Other
Enumeration date
02/24/2010
Last updated
03/01/2026
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