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Organization

FOX VALLEY COUNSELING AND DIAGNOSITICS

Active
Other names
Fox Valley Counseling and Diagnositics
Organization subpart
No

Provider details

NPI number
Authorized official
LISA RANDERSON LPC (CLINICAL COUNSELOR)
(920) 915-3735
Entity
Organization

Contact information

Practice address
301 NICOLET BLVD, NEENAH, WI 54956-2756
(920) 915-3735
Mailing address
3931 E GLORY LN, APPLETON, WI 54913-9391
(920) 915-3735

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/27/2021
Last updated
12/27/2021
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