Individual
MS. LISA MARIE BLAKEN-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
N9710 STATE HWY 108, MELROSE, WI 54642-8258
(608) 386-1086
(608) 488-2161
Mailing address
N9710 STATE HWY 108, MELROSE, WI 54642-8258
(608) 386-1086
(608) 488-2161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3289125
WI
Other
Enumeration date
05/26/2007
Last updated
10/06/2014
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