Individual
LISA A KEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
725 S CENTRAL AVE, MARSHFIELD, WI 54449-4106
(715) 387-2729
(715) 387-4526
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4248-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124279567
—
WI
Enumeration date
10/03/2008
Last updated
11/16/2021
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