Individual provider · Type 1 NPI

Tabitha N. Lisowe, SAC-IT

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1710667159 Active

Practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Call (262) 548-7666 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21167-130 (WI)

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

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About NPI 1710667159

Tabitha N. Lisowe, SAC-IT's National Provider Identifier is 1710667159, issued on Jul 20, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jun 12, 2026.