person
Lisa Roth
Professional Counselor in Milwaukee, Wisconsin
NPI 1447681168

Lisa Roth is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Lisa Roth practices in Milwaukee, WI. The NPI Number for Lisa Roth is 1447681168 and holds a License No. 15821-132 (Wisconsin).

The current practice location address for Lisa Roth is 790 N Milwaukee St, Milwaukee, WI and can be reached out via phone at 262-706-5868 and via fax at 414-485-6843.

Location: 790 N Milwaukee St, Milwaukee, WI, 53202-3724
person
Provider Profile Details
NPI Number
1447681168
Provider Name
Lisa Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
790 N Milwaukee St, Milwaukee, WI, 53202-3724
Phone Number
262-706-5868
Fax Number
414-485-6843
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
790 N Milwaukee St
City
State
Zip
53202-3724
Phone Number
262-706-5868
Fax Number
414-485-6843
person
Provider Business Mailing Address Details
Address
790 N Milwaukee St
City
State
Zip
53202-3724
Phone Number
262-706-5868
Fax Number
414-485-6843
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1621-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15821-132 (Wisconsin)
Definition
Definition to come...
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