Individual
GUISSELLE MARIA LIZANO CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(262) 637-8888
(262) 637-0695
Mailing address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(414) 769-3400
(262) 637-0695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4463-125
WI
104100000X
Social Worker
4463-125
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/11/2010
Last updated
05/29/2024
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