Individual
LISA S. DOLGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, NCC, LPC
Contact information
Practice address
2405 NORTHWESTERN AVE, RACINE, WI 53404-2534
(262) 886-0474
(262) 898-3378
Mailing address
2405 NORTHWESTERN AVE, RACINE, WI 53404-2534
(262) 886-0474
(262) 898-3378
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4231-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679777361
—
WI
Enumeration date
06/14/2007
Last updated
04/15/2013
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