LISA H MICHNO

MENASHA, WI
NPI1740538503
Former NameLISA M HACKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16101)
Enumeration Date2012-08-27
Last Update Date2019-10-31
Business Address
LISA H MICHNO MA, SACT
1095 MIDWAY RD
MENASHA, WI 54952-1115
Phone number: 920-720-2300
Mailing Address
LISA H MICHNO MA, SACT
122 E COLLEGE AVE
APPLETON, WI 54911-5794
Phone number: 920-996-3264