Individual
LYNN MARIE GENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8933
Mailing address
1808 W BELTLINE HWY, SSM HEALTH FDL REGIONAL CLINIC, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3940-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3940-125
STATE LICENSE
WI
Enumeration date
10/02/2007
Last updated
12/31/2024
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