Individual
LORI JO EKLUND WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LPC,SAC
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153
(920) 835-5500
(920) 835-5510
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15877132
WI
101YP2500X
Professional Counselor
2960125
WI
1041C0700X
Clinical Social Worker
Primary
8355123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43565300
—
WI
Enumeration date
11/17/2006
Last updated
02/10/2021
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