Individual
ELISHA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
522 GATEWAY AVE STE F, MAUSTON, WI 53948-1450
(608) 377-3864
(608) 716-3155
Mailing address
522 GATEWAY AVE STE F, MAUSTON, WI 53948-1450
(608) 377-3864
(608) 716-3155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8350-226
WI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
03/03/2026
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