Individual
LISA CHRISTINE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC-IT
Contact information
Practice address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
(608) 233-2100
Mailing address
5005 UNIVERSITY AVE STE 100, MADISON, WI 53705-5400
(608) 233-2100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18597-130
WI
101YP2500X
Professional Counselor
Primary
7611-125
WI
Other
Enumeration date
03/01/2018
Last updated
02/12/2020
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