Individual
ELIZABETH RAE LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1025 W GLEN OAKS LN, STE 205, MEQUON, WI 53092
(262) 228-6140
Mailing address
1025 W GLEN OAKS LN, STE 205, MEQUON, WI 53092
(262) 228-6140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10469-125
WI
101YM0800X
Mental Health Counselor
LPC-22497
AZ
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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