Portmann, Lisa Marie
Portmann, Lisa Marie is an individual health care provider with primary practice located at 3301 N Ballard Rd Ste B , Appleton WI 54911-9002. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Portmann, Lisa Marie can be contacted via phone (920) 733-4443.Contact Information
Primary practice address
3301 N Ballard Rd Ste B
Appleton WI 54911-9002
Phone: (920) 733-4443
Fax: (920) 733-4796
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15863-130 | Wisconsin |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 10300-120 | Wisconsin |
Profile Details
NPI number | 1114255361 |
---|---|
LBN Legal business name | Portmann, Lisa Marie |
Credentials | BSW, TCSW, SAC-IT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2009 |
Last updated | Nov 30th, 2009 - about 15 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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