Individual
LISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
145 W WISCONSIN AVE, NEENAH, WI 54956-3075
(920) 725-1230
(920) 215-6164
Mailing address
145 W WISCONSIN AVE, NEENAH, WI 54956-3075
(920) 725-1230
(209) 215-6164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4252-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10076810
—
WI
Enumeration date
09/10/2014
Last updated
01/13/2020
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