Individual
LISA MOHAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
W12802 COUNTY HWY A, BOWLER, WI 54416
(715) 793-3000
(715) 793-1312
Mailing address
8896 SANDALWOOD CT, WOODRUFF, WI 54568-9339
(715) 584-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15441-132
WI
101YP2500X
Professional Counselor
Primary
5758-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WI
05
—
101YP2500X
—
WI
Enumeration date
05/18/2010
Last updated
11/02/2015
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