person
Lisa Beth Moore, LPC-IT
Professional Counselor in Waukesha, Wisconsin
NPI 1003470303

Lisa Beth Moore is a Professional Counselor based in Woodruff, WI and is specialized in Professional. Lisa Beth Moore practices in Waukesha, WI and has the professional credentials of LPC-IT. The NPI Number for Lisa Beth Moore is 1003470303 and holds a License No. 3523-266 (Wisconsin).

The current practice location address for Lisa Beth Moore is 101 W Broadway Fl 2, Waukesha, WI and can be reached out via phone at 262-547-5567.

Location: 101 W Broadway Fl 2, Waukesha, WI, 54568-1298
person
Provider Profile Details
NPI Number
1003470303
Provider Name
Lisa Beth Moore
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
101 W Broadway Fl 2, Waukesha, WI, 54568-1298
Phone Number
262-547-5567
Fax Number
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 W Broadway Fl 2
City
State
Zip
53186-4833
Phone Number
262-547-5567
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Broadway Fl 2
City
State
Zip
53186-4833
Phone Number
262-547-5567
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3523-266 (Wisconsin)
Definition
Definition to come...
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