Individual
LYNN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
715 DECORAH RD, WEST BEND, WI 53095-8112
(262) 305-9668
Mailing address
715 DECORAH RD, WEST BEND, WI 53095-8112
(262) 305-9668
(262) 416-0085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15917-132
WI
101YP2500X
Professional Counselor
Primary
6584-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027556
—
WI
05
—
1962748624
—
WI
Enumeration date
12/27/2012
Last updated
06/06/2024
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