| Doctor Name: | LISA DEAL |
| NPI Number: | 1598889024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC III, CCS II |
| License Number: | 13743-135 |
| Business Practice Address: | 169 E Wisconsin Ave Suite H Oconomowoc, WI - 530663062 |
| Business Phone Number: | 2625679338 |
| Business Fax Number: | |
| Mailing Address: | 2745 S 69th St, MILWAUKEE |
| State: | WI |
| Postal Code: | 532192906 |
| Phone Number: | 4143645908 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 13743-135 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |