Individual
LISA M TUTSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
696-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42105100
—
WI
Enumeration date
07/26/2006
Last updated
07/22/2025
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