Individual
LISA WANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
178 COTTAGE RD APT 3, SOUTH PORTLAND, ME 04106-3737
(207) 370-7715
Mailing address
178 COTTAGE RD APT 3, SOUTH PORTLAND, ME 04106-3737
(203) 362-7777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7401
ME
106H00000X
Marriage & Family Therapist
Primary
MF5709
ME
Other
Enumeration date
05/02/2018
Last updated
08/11/2025
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