Individual
CARISSA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
7387 LOGERQUIST RD, BAILEYS HARBOR, WI 54202-9610
(715) 451-7530
(715) 848-8665
Mailing address
7387 LOGERQUIST RD, BAILEYS HARBOR, WI 54202-9610
(715) 451-7530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15875-132
WI
101YM0800X
Mental Health Counselor
5464125
WI
101YP2500X
Professional Counselor
Primary
5464-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15875-132
STATE OF WISCONSIN LICENSE
WI
01
—
5464-125
STATE OF WISCONSIN LICENSE
WI
Enumeration date
05/04/2015
Last updated
01/28/2026
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