Individual
MRS. SHANTA M PASIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
647 W MAIN ST STE 900, LAKE GENEVA, WI 53147-1985
(262) 806-1467
Mailing address
233 SCHEMMER ST, BURLINGTON, WI 53105-1833
(414) 241-1520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7389
WI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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