Individual
KAY ELIZABETH LISICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSAC, ICS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15379-132
WI
101YM0800X
Mental Health Counselor
8422-123
WI
1041C0700X
Clinical Social Worker
Primary
8422-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007373
—
WI
Enumeration date
01/12/2010
Last updated
07/11/2025
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