Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA DEDRICK
ActiveLISA DEDRICK is a Professional Counselor healthcare provider located in MONTELLO, Wisconsin. NPI 1417317751 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MONTELLO, WI
Registration Details
- NPI Number
- 1417317751
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2016 (10.31154368257 yrs)
- Last Updated
- May 9, 2016
- License
-
2416-226 (WI)
Practice Information
- Address
-
480 UNDERWOOD AVEMONTELLO, WI, 539499248Browse WI providers · Browse ZIP 53949
- Phone
- 6082973181
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in MONTELLO, WI
| Name | Credential | NPI |
|---|---|---|
| CLINT STARKS | SACIT, LPCIT | 1437415486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.