Individual
LISA DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC III, CCS II
Contact information
Practice address
169 E WISCONSIN AVE, SUITE H, OCONOMOWOC, WI 53066-3062
(262) 567-9338
Mailing address
2745 S 69TH ST, MILWAUKEE, WI 53219-2906
(414) 364-5908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13743-135
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
11654-132
WI
Other
Enumeration date
03/19/2007
Last updated
09/11/2025
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