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Lisa Wagner, MSE
Professional Counselor in Neenah, Wisconsin
NPI 1407270465

Lisa Wagner is a Professional Counselor based in Chicago, WI and is specialized in Professional. Lisa Wagner practices in Neenah, WI and has the professional credentials of MSE. The NPI Number for Lisa Wagner is 1407270465 and holds a License No. (Wisconsin).

The current practice location address for Lisa Wagner is 1136 Westowne Dr, Neenah, WI and can be reached out via phone at 920-456-2030.

Location: 1136 Westowne Dr, Neenah, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407270465
Provider Name
Lisa Wagner
Credential
MSE
Provider Entity Type
Individual
Gender
Female
Address
1136 Westowne Dr, Neenah, WI, 60673-5044
Phone Number
920-456-2030
Fax Number
Provider Enumeration Date
02/12/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100084556 05 WI
1407270465 05 WI
institution
Provider Business Practice Location Address Details
Address
1136 Westowne Dr
City
Neenah
State
Wisconsin
Zip
54956-2175
Phone Number
920-456-2030
Fax Number
person
Provider Business Mailing Address Details
Address
1136 Westowne Dr
City
Neenah
State
Wisconsin
Zip
54956-2175
Phone Number
920-456-2030
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
7208-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
7208 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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