Doctor Name: | LISA SAUERBERG |
NPI Number: | 1023434776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC |
License Number: | 15706-131 |
Business Practice Address: | 201 S Glenridge Ct Appleton, WI - 549143905 |
Business Phone Number: | 9207313981 |
Business Fax Number: | 9207312853 |
Mailing Address: | 201 S Glenridge Ct, APPLETON |
State: | WI |
Postal Code: | 549143905 |
Phone Number: | 9207313981 |
Fax Number: | 9207312853 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 15706-131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |