person
Lisa Ann Witkowski, MS,,LPC,ICS
Professional Counselor in Madison, Wisconsin
NPI 1255431870

Lisa Ann Witkowski is a Professional Counselor based in Madison, WI and is specialized in Professional. Lisa Ann Witkowski practices in Madison, WI and has the professional credentials of MS,,LPC,ICS. The NPI Number for Lisa Ann Witkowski is 1255431870 and holds a License No. 4213-125 (Wisconsin).

The current practice location address for Lisa Ann Witkowski is 1015 Gammon Ln, Madison, WI and can be reached out via phone at 608-417-8144 and via fax at 608-417-8144. You can also correspond with Lisa Ann Witkowski through the mailing address at 6314 ODANA RD, MADISON, WI - 53719-1129 (mailing address contact number: 608-277-0610).

Location: 1015 Gammon Ln, Madison, WI, 53719-1129
person
Provider Profile Details
NPI Number
1255431870
Provider Name
Lisa Ann Witkowski
Credential
MS,,LPC,ICS
Provider Entity Type
Individual
Gender
Female
Address
1015 Gammon Ln, Madison, WI, 53719-1129
Phone Number
608-417-8144
Fax Number
608-417-8144
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14292 01 WI AODA CREDENTIAL
41 - 226 01 WI WI DRL, LPC-TRAINING LIC.
institution
Provider Business Practice Location Address Details
Address
1015 Gammon Ln
City
State
Zip
53719-2210
Phone Number
608-417-8144
Fax Number
608-417-8144
person
Provider Business Mailing Address Details
Address
6314 Odana Rd
City
State
Zip
53719-1129
Phone Number
608-277-0610
Fax Number
608-270-6651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4213-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4213-125 (Wisconsin)
Definition
Definition to come...
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