Individual
LISA RANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
301 NICOLET BLVD, NEENAH, WI 54956-2756
(920) 915-3735
(920) 738-9901
Mailing address
301 NICOLET BLVD, NEENAH, WI 54956-2756
(920) 915-3735
(920) 738-9901
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15687-131
WI
101YP2500X
Professional Counselor
Primary
4263-125
WI
Other
Enumeration date
07/31/2007
Last updated
05/17/2023
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