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Lisa Jane Burnham, CSAC,LPC-IT
Professional Counselor in La Crosse, Wisconsin
NPI 1801244025

Lisa Jane Burnham is a Professional Counselor based in La Crosse, WI and is specialized in Professional. Lisa Jane Burnham practices in La Crosse, WI and has the professional credentials of CSAC,LPC-IT. The NPI Number for Lisa Jane Burnham is 1801244025 and holds a License No. 16199-132 (Wisconsin).

The current practice location address for Lisa Jane Burnham is 115 5Th Ave S Ste 504, La Crosse, WI and can be reached out via phone at 715-896-4772 and via fax at 608-782-4426.

Location: 115 5Th Ave S Ste 504, La Crosse, WI, 54601-4018
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Provider Profile Details
NPI Number
1801244025
Provider Name
Lisa Jane Burnham
Credential
CSAC,LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
115 5Th Ave S Ste 504, La Crosse, WI, 54601-4018
Phone Number
715-896-4772
Fax Number
608-782-4426
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100060087 05 WI
institution
Provider Business Practice Location Address Details
Address
115 5Th Ave S Ste 504
City
State
Zip
54601-4079
Phone Number
715-896-4772
Fax Number
608-782-4426
person
Provider Business Mailing Address Details
Address
115 5Th Ave S Ste 504
City
State
Zip
54601-4079
Phone Number
715-896-4772
Fax Number
608-782-4426
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3803-226 (Wisconsin)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16199-132 (Wisconsin)
Definition
Definition to come...
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