Eklund Walsh, Lori Jo

Eklund Walsh, Lori Jo is an individual health care provider with primary practice located at 820 Arbutus Ave , Oconto WI 54153. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eklund Walsh, Lori Jo can be contacted via phone (920) 835-5500.

Contact Information

Primary practice address
820 Arbutus Ave Oconto WI 54153
Phone: (920) 835-5500
Fax: (920) 835-5510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15877132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 2960125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8355123 Wisconsin

Profile Details

NPI number 1457425951
LBN Legal business name Eklund Walsh, Lori Jo
Credentials LCSW,LPC,SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Feb 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457425951 NPPES
Wisconsin MEDICAID 43565300

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