Individual
LORI-ANA ELISA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 N PINE ST STE 202, BURLINGTON, WI 53105-1492
(414) 666-4211
Mailing address
7250 S BALLPARK DR APT 106, FRANKLIN, WI 53132-7026
(786) 217-2642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11306123
WI
1041C0700X
Clinical Social Worker
Primary
11306-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11306123
—
WI
01
—
15683462
CAQH
WI
Enumeration date
06/21/2023
Last updated
03/20/2026
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