Individual
LISA BEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(920) 531-2651
(920) 982-5040
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(920) 531-2651
(920) 982-5040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3480-125
WI
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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