Individual
MRS. LISA A POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3794-125
WI
101YP2500X
Professional Counselor
17510
TX
101YP2500X
Professional Counselor
Primary
P2303009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43743400
—
WI
Enumeration date
09/12/2008
Last updated
07/18/2026
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