person
Mrs. Lisa Tara Gibson, CSAC
Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin
NPI 1881885788

Lisa Tara Gibson is an Addiction (Substance Use Disorder) Counselor based in Milwaukee, WI and is specialized in Addiction (Substance Use Disorder). Lisa Tara Gibson practices in Milwaukee, WI and has the professional credentials of CSAC. The NPI Number for Lisa Tara Gibson is 1881885788 and holds a License No. 10791-132 (Wisconsin).

The current practice location address for Lisa Tara Gibson is 230 W Wells St Ste 214, Milwaukee, WI and can be reached out via phone at 414-223-3815 and via fax at 414-223-3817.

Location: 230 W Wells St Ste 214, Milwaukee, WI, 53203-1866
person
Provider Profile Details
NPI Number
1881885788
Provider Name
Lisa Tara Gibson
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
230 W Wells St Ste 214, Milwaukee, WI, 53203-1866
Phone Number
414-223-3815
Fax Number
414-223-3817
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
230 W Wells St Ste 214
City
State
Zip
53203-1866
Phone Number
414-223-3815
Fax Number
414-223-3817
person
Provider Business Mailing Address Details
Address
230 W Wells St Ste 214
City
State
Zip
53203-1866
Phone Number
414-223-3815
Fax Number
414-223-3817
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10791-132 (Wisconsin)
Definition
Definition to come...
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