Individual
GINA E. LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6799
(715) 848-4600
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6799
(715) 848-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3879
WI
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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