Individual
LISSA BALISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LPC
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
Mailing address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4044-125
WI
Other
Enumeration date
09/16/2009
Last updated
03/27/2024
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