Mrs. Lisa Tara Gibson, CSAC
Mrs. Lisa Tara Gibson, CSAC is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
230 W Wells St Ste 214Milwaukee, WI 53203-1866
Phone: (414) 223-3815
Fax: (414) 223-3817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 10791-132 (WI) |
|---|
Record details
| NPI number | 1881885788 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSAC |
| Sole proprietor | No |
| NPI enumerated | August 6, 2007 |
| Last updated in NPPES | August 11, 2015 |
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