Individual provider · Type 1 NPI

Lisa (pema) Antoniotti

Addiction (Substance Use Disorder) Counselor · Madison, WI

NPI number 1639768989 Active

Practice location

49 Kessel Ct
Madison, WI 53711-6200

Call (608) 280-2700 Map

Mailing address

25 Kessel Ct Ste 105
Madison, WI 53711-6227

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X4103 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18401 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639768989

Lisa (pema) Antoniotti's National Provider Identifier is 1639768989, issued on Jan 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison, WI. The record was last updated on Jan 12, 2021.