LISA DEAL

OCONOMOWOC, WI
NPI1598889024
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: WI  13743-135)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  11654-132)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- LISA DEAL CADC III, CCS II
169 E WISCONSIN AVE SUITE H
OCONOMOWOC, WI 53066-3062
Phone number: 262-567-9338
Mailing Address
-- LISA DEAL CADC III, CCS II
2745 S 69TH ST
MILWAUKEE, WI 53219-2906
Phone number: 414-364-5908