Individual
LISA GUTZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
251 PROGRESS WAY STE 102, WAUNAKEE, WI 53597-2520
(608) 849-5430
(858) 225-7950
Mailing address
251 PROGRESS WAY STE 102, WAUNAKEE, WI 53597-2520
(608) 849-5430
(858) 225-7950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20322-130
WI
101YM0800X
Mental Health Counselor
Primary
4455-125
WI
101YP2500X
Professional Counselor
4455-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083961217
—
WI
Enumeration date
11/19/2010
Last updated
02/10/2024
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