Randerson, Lisa

Randerson, Lisa is an sole proprietor health care provider with primary practice located at 301 Nicolet Blvd , Neenah WI 54956-2756. 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 / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Randerson, Lisa can be contacted via phone (920) 915-3735.

Contact Information

Primary practice address
301 Nicolet Blvd Neenah WI 54956-2756
Phone: (920) 915-3735
Fax: (920) 738-9901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15687-131 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4263-125 Wisconsin

Profile Details

NPI number 1699965137
LBN Legal business name Randerson, Lisa
Credentials LPC, SAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated May 17th, 2023 - about last year

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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