Individual
LISA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP-IT
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2716
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4856-226
WI
101YM0800X
Mental Health Counselor
4856-226
WI
101YP2500X
Professional Counselor
Primary
4856-226
WI
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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