Individual
LISA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
55 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 313-3126
Mailing address
55 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 313-3126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11943-125
WI
Other
Enumeration date
05/24/2023
Last updated
04/27/2026
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