Individual
LISA MARIE PORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW SAC
Contact information
Practice address
3301 N BALLARD RD STE B, APPLETON, WI 54911-9002
(920) 733-4443
(920) 733-4796
Mailing address
2627 MARATHON AVE, NEENAH, WI 54956-5080
(920) 420-7533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15863-130
WI
104100000X
Social Worker
10300-120
WI
1041C0700X
Clinical Social Worker
Primary
8453-123
WI
Other
Enumeration date
11/30/2009
Last updated
08/07/2025
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