Individual
DR. VICTOR J LISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1001 W 31ST ST, CHEYENNE, WY 82001
(307) 634-6883
(307) 634-9462
Mailing address
1001 W 31ST ST, CHEYENNE, WY 82001
(307) 634-6883
(307) 634-9462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC289
WY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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