Individual
LISA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 470-9131
(262) 691-2972
Mailing address
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072-3765
(262) 470-9131
(262) 691-2972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7986-226
WI
Other
Enumeration date
06/26/2024
Last updated
09/10/2024
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